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December 22, 1969, Vol 210, No. 12 >

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ARTICLE | December 22, 1969

Giant Cutaneous Horn

Howard Semins, MD; Harry M. Null, MD
JAMA. 1969;210(12):2285. doi:10.1001/jama.1969.03160380099033.
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To the Editor:—  Cutaneous horns are superficial skin lesions projecting perpendicularly from the surface and rarely exceeding 1 to 2 cm in length. Our patient presented with a projection that is among the largest reported. Although this lesion was growing on a benign base, it is important for the physician to be informed about cutaneous horns because of their occasional occurrence on a malignant base.

Report of a Case:—  A 69-year-old male Negro appeared at the surgical clinic of the Western Pennsylvania Hospital with a 5-year slowly increasing growth on the skin of the left arm. The patient gave no history of a previous lesion at that site and had no symptomatic complaints. The lesion was excised with the patient under local anesthesia, including a 1-cm margin of normal skin surrounding the base.The horn (Fig 1) measured 1.4 cm in diameter and 7.1 cm in length. It was hard,

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