Removal of a cutaneous horn

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Removal of a Cutaneous Horn

A cutaneous horn is a hard, keratinized growth that protrudes from the skin, resembling an animal horn. Though usually benign, some cutaneous horns may be associated with precancerous or cancerous conditions, making proper diagnosis and removal essential.

Causes and Risk Factors

Cutaneous horns typically develop due to excessive keratin production, often resulting from sun exposure, human papillomavirus (HPV) infections, or chronic skin irritation. They are most commonly found in older adults and appear on sun-exposed areas such as the face, ears, hands, and scalp.

Diagnosis and Assessment

A dermatologist assesses a cutaneous horn through a physical examination and may perform a biopsy to rule out malignancy. If the base of the horn appears inflamed, ulcerated, or irregular, it could indicate squamous cell carcinoma or another form of skin cancer.

Removal Procedures

The most effective treatment for a cutaneous horn is surgical removal. This can be done through:

  • Excision – A dermatologist cuts out the horn and a margin of healthy tissue if malignancy is suspected.
  • Cryotherapy – Freezing with liquid nitrogen may be an option for small, benign lesions.
  • Electrosurgery – Burning the lesion with electrical currents can help remove and control bleeding.

Aftercare and Prevention

Following removal, patients should follow wound care instructions to prevent infection and scarring. Regular skin checks, sunscreen use, and protective clothing help reduce the risk of developing future cutaneous horns.

Since some cutaneous horns can indicate underlying skin cancer, early detection and removal are crucial. Consulting a dermatologist at the first sign of unusual skin growths ensures timely and effective treatment.