A Giant Cutaneous Horn Projecting from Verrucous Carcinoma of Buccal Mucosa: A Rare Case Report
Published: March 1, 2017 | DOI: https://doi.org/10.7860/JCDR/2017/24657.9361
Priyankar Singh, Dipesh Nathani, Shashi Ranjan, Rashmi Issar
1. Senior Resident, Department of Dentistry, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India.
2. Private Practitioner, Dr Nathani’s Dentofacial Care Surat, Gujarat, India.
3. Reader, Department of Oral and Maxillofacial Pathology, Dr B.R.Ambedkar Institute of Dental Sciences and Hospital, Patna, Bihar, India.
4. Reader, Department of Conservative Dentistry and Endodontics, Patna Dental College and Hospital, Patna, Bihar, India.
Correspondence
Dr. Priyankar Singh,
Senior Resident, Oral and Maxillofacial Surgery, Department of Dentistry, Indira Gandhi Institute of Medical Sciences,
Patna-800014, Bihar, India.
E-mail: spriyankar@yahoo.co.in
Cutaneous horn is conical shape of compact keratin that resembles a miniature animal horn. Though morphologically similar to horns in animals they are histologically very different from them. It is a circumscribed, conical, hyperkeratotic dense protrusion with epithelial cornification above the skin surface in response to a wide range of underlying benign and malignant pathological changes. Though benign, a cutaneous horn holds the potential to be premalignant or malignant. In India till now six cases has been reported with cutaneous horn at various unusual sites. We report a unique case of 52-year-old woman with a giant cutaneous horn at left oral commissure with underlying verrucous carcinoma of left buccal mucosa which is a very rare location for such lesion. Considering its malignant potential, adequate therapy requires wide excision with a tumour-free margin of at least 1 cm, particularly in the facial region where the incidence of malignancy is higher.
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