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Clinical Medical
Image Library
ISSN: 2474-3682
IMAGE ARTICLE | VOLUME 4, ISSUE 2 | OPEN ACCESS DOI: 10.23937/2474-3682/1510086

Cutaneous Horn of the Eyelid: The Tip of the Iceberg

Mohamed El Amraoui , Rachid Frikh, Naoufal Hjira and Mohammed Boui

Department of Radiology, Konya Education and Research Hospital, University of Health Sciences, Konya, Turkey

*Corresponding author: Mohamed El Amraoui, Department of Dermatology-Venereology, Mohammed V Military Training Hospital, Rabat, Morocco, E-mail: Med.elamraoui.dto@gmail.com

Received: February 22, 2018 | Accepted: April 02, 2018 | Published: April 04, 2018

Citation: El Amraoui M, Frikh R, Hjira N, Boui M (2018) Cutaneous Horn of the Eyelid: The Tip of the Iceberg. Clin Med Img Lib 4:086. doi.org/10.23937/2474-3682/1510086

Copyright: © 2018 El Amraoui M, et al. This is an open-access content distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract


Cutaneous horns are relatively rare tumors, the precursor lesions are multiple and variable. From where the interest of the histology to look for what is under a cutaneous horn.

Introduction


Cutaneous horns are frequent keratinized epidermal growths that can have spectacular dimensions and shapes. Its etiologies are multiple and of variable gravities.

Clinical Case


A 35-year-man, without significant pathological history, with a notion of significant solar exposure seen his profession. Has consulted for a verrucous tumor of the free edge of the right upper eyelid, obstructing the vision, longer than broad, measuring about one centimeter, rolled up on itself with an erythematous base surmounted by a yellow keratin (Figures 1 and Figure 2). View the young age of the patient, the typical character of the lesion and the first episode of the disease, an electro section with electrocoagulation were made. The evolution was marked by a complete remission over 12 months of decline.

Comments


Cutaneous horn is a relatively rare tumor, most often arising on sun-exposed skin in elderly men [1-4]. While the cause leading to the formation of cutaneous horns is unknown, UV radiations are believed to be the trigger of this condition [4].

Various types of associated lesions may be found at the base of a cutaneous horn, including viral warts, actinic keratosis, keratoacanthoma, seborrheic keratosis, histiocytoma pyogenic granuloma, follicular keratosis, verrucous epidermal nevus, moluscum contagiosum, discoid lupus erythematosus, Bowen's disease, basal cell carcinoma, and squamous cell carcinoma [2,4].

In a study performed on 48 cases with eyelid horns, by Mencía-Gutiérrez, et al. Histologically, 77.1% were associated with benign specimens at the base pathology, 14.6% were premalignant, and finally, 8.3% were caused by malignant skin tumors [2].

The treatment of choice is the biopsy exerese followed by a histological study, in cases of benign lesions; the biopsy may be both diagnostic and therapeutic, while for malignant tumors, complete surgical excision with appropriate margin is usually required [1,4].

Conclusion


The diagnosis of a cutaneous horn is often easy clinically. The important is not the horn itself, but the nature of the underlying disease. Then, the histology remains primordial in front of any cutaneous horn.

Figures



Figure 1: Keratin horn of the free edge of the upper right eyelid.


Figure 2: Keratin horn of the free edge of the upper right eyelid.

References


  1. Ezatollah Sadeghi, Hamed Ghoddusi Johari, Hamed N Deylami (2012) Eyelid cutaneous horn. J Cutan Aesthet Surg 5: 153-154.

  2. Mencía-Gutiérrez E, Gutiérrez-Díaz E, Redondo-Marcos I, Ricoy JR, García-Torre JP (2004) Cutaneous horns of the eyelid: A clinicopathological study of 48 cases. J Cutan Pathol 31: 539-543.

  3. Nthumba PM (2007) Giant cutaneous horn in an African woman: A case report. J Med Case Reports 1: 170.

  4. Claudia Florida Costea, Gabriela Dimitriu, Anca Sava, Mădălina Chihaia, Cristina Dancă, et al. (2017) Cutaneous horn of the eyelid: Anatomoclinical implications. J Clin Res Ophthalmol 4: 001-005.