Burun ve Kulakta Kutanöz Horn, Malign ve Premalign Süreçlerle İlişkisi: İki Olgu Sunumu

Abstract

Kutanöz horn, birkaç milimetre ile birkaç santimetre arasında değişen uzunlukta, boynuzumsu görünümde hiperkeratotik lezyonlardır. Kutanöz horn, genel olarak yüz cildi, kulaklar ve güneşe maruziyetin fazla olduğu diğer alanlarda görülür. Kutanöz horn zeminde mevcut olan benign, premalign veya malign değişikliklerle birlikte veya bu değişiklikler sonucu oluşmaktadır. Bu yazıda burun ve kulak cildinde kutanöz horn nedeniyle ameliyat edilen ve kutanöz horn zemininde aktinik keratoz ve skuamöz hücreli kanser tespit edilen iki hasta sunulmaktadır.

Keywords

• aktinik keratoz
• baş ve boyun neoplazileri
• boynuzlar
• deri tümörleri
• skuamöz hücreli karsinom

Cutaneous Horns on the Nose and Ear: Association with Malignant and Premalignant Conditions – Two Case Reports

Abstract

Cutaneous horns are hyperkeratotic lesions characterized by a horn-like appearance, varying in size from a few millimeters to several centimeters. These lesions are commonly located on areas of the skin with prolonged sun exposure, such as the face and ears. Cutaneous horns can develop in association with underlying benign, premalignant, or malignant conditions, or as a direct result of such alterations. This report presents two cases of patients who underwent surgical treatment for cutaneous horns located on the nasal and auricular regions, with actinic keratosis and squamous cell carcinoma identified as the underlying pathologies.

Keywords

• Actinic keratosis
• head and neck neoplasms
• Horns
• skin neoplasms
• squamous cell carcinoma

References

1. 1. Pyne J, Sapkota D, Wong JC. Cutaneous horns: clues to invasive squamous cell carcinoma being present in the horn base. Dermatol Pract Concept. 2013;3(2):3-7.
2. 2. Bondeson J. Everard Home, John Hunter, and cutaneous horns: a historical review. Am J Dermatopathol. 2001;23(4):362-369.
3. 3. Park H, Kim W, Kim H, Yeo H. Cutaneous horn in premalignant and malignant conditions. Arch Craniofac Surg. 2016;17(1):25-27.
4. 4. Stella C, Adam M F, Edward L. Helical rim reconstruction: Antiabuch flap. Eplasty. 2015;15:ic55.
5. 5. Lowe FC, McCullough AR. Cutaneous horns of the penis: an approach to management. Case report and review of the literature. J Am Acad Dermatol. 1985;13(2 Pt 2):369-373.
6. 6. Copcu E, Sivrioglu N, Culhaci N. Cutaneous horns: are these lesions as innocent as they seem to be? World J Surg Oncol. 2004;2:18.
7. 7. Kneitz H, Motschenbacher S, Wobser M, Goebeler M. Photoletter to the editor: Giant cutaneous horn associated with squamous cell carcinoma. J Dermatol Case Rep. 2015;9(1):27-28.
8. 8. Quaedvlieg PJ, Tirsi E, Thissen MR, Krekels GA. Actinic keratosis: how to differentiate the good from the bad ones?. Eur J Dermatol. 2006;16(4):335-339.

9. 9. Trager MH, Gordon ER, Breneman A, Weng C, Samie FH. Artificial intelligence for nonmelanoma skin cancer. Clin Dermatol. 2024;42(5):466-476.
10. 10. Güç ZG, Güç H. Cutaneous Squamous Cell Carcinoma: A type of cancer that discriminates against young adults. Acta Oncol Tur. 2023;56(1):74-80.
11. 11. Bartos V. Development of multiple-lesion vasal cell carcinoma of the skin: A comprehensive review. Sisli Etfal Hastan Tip Bul. 2019;53(4):323-328.
12. 12. Gruber P, Zito PM. Skin cancer. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2023.
13. 13. Nahhas AF, Scarbrough CA, Trotter S. A review of the global guidelines on surgical margins for nonmelanoma skin cancers. J Clin Aesthet Dermatol. 2017;10(4):37-46.
14. 14. Uslu A. Retrospective analysis of the treatment and follow-up of 251 patients with non-melanoma skin cancer in the mediterranean region. Acta Oncol Tur. 2019;52(2):221-231.
15. 15. Toplu G, Altınel D, Serin M. Evaluation of skin cancers in a 7-year plastic surgery archive (2014-2020). Istanbul Med J. 2022;23(3):164-169.
16. 16. Rampinelli V, Pinacoli A, Piazza C. Head and neck nonmelanoma skin cancers: surgical management and debated issues. Curr Opin Otolaryngol Head Neck Surg. 2024;32(2):62-70.
17. 17. Tapan M, Özkan Ö. Immediate reconstruction of nasal and alar defects after malignant skin tumor excision without mohs surgery. Eur Res J. 2023;9(5):1027-1033.
18. 18. Thiers BH, Strat N, Snyder AN, Zito PM. Cutaneous horn. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2024.