Üst dudakta skuamöz hücreli karsinom ile birlikte görülen kütanöz boynuz

Year 2009, Volume: 19 Issue: 6, 304 - 306, 12.12.2009

Ahmet İslam İlknur Haberal Can Pervin Dürer Münir Demirci

Abstract

Kütanöz boynuz kornifiye materyalden oluşan derinin bir çıkıntısıdır. Özellikle baş boyun böl- gesi olmak üzere genelde derinin açıkta kalan bölgelerinde görülür. Yetmiş yaşında kadın hasta üst dudakta 2 cm’lik sert, konik ve koyu gri renkte lezyon ile kliniğimize başvurdu. Fizik muayene- sinde lezyon haricinde boyunda lenf nodu palpe edilmedi. Kutanöz boynuz tanısı ile lokal anestezi altında 4-5 mm çevresiyle birlikte lezyon çıkartıl- dı. Histopatolojik inceleme sonucunda bu lezyo- nun, tabanında iyi diferansiye skuamöz hücreli karsinom olan kutanöz boynuz olduğu bildirildi. Hastanın 5.5 yıllık takibi süresince yineleme veya yayılım tespit edilmedi. Kutanöz boynuzların pek çok durumu maskeleyerek zeminde premalign ve malign lezyonlarla birlikte görülebileceği akılda tutulmalıdır

Keywords

Kutanöz, boynuz, skuamöz hücreli karsinom

Cutaneous horn on the upper lip associated with squamous cell carcinoma

Abstract

Cutaneous horn is a protrusion from the skin consisting of cornified material. It usually appears on exposed skin areas especially on the head and neck. A 70-year-old woman applied to our clinic with a hard, conical, black-grey 2 cm lesion on the upper lip. On physical examination, there was no palpable lymph node in the neck other than the lesion. Diagnosed to be cutaneous horn, the lesion was completely removed together with 4-5 mm surrounding tissues under local anaesthesia. The histopatological examination reported this lesion to be cutaneous horn with well differentiated squamous cell carcinoma at its base. No recurrences or metastasis were detected within a follow-up period of 5.5 years. It should be kept in mind that cutaneous horns may be associated with premalignant and malignant lesions at the base, masking numerous conditions.

Keywords

Cutaneous, horn, squamous cell carcinoma

References

• Baruchin A, Sagi A, Lupo L, Hauben DJ. Cutaneous horn (cornu cutaneum). Int J Tissue React 1984;6:355-7.
• Yu RC, Pryce DW, Macfarlane AW, Stewart TW. A histopathological study of 643 cutaneous horns. Br J Dermatol 1991;124:449-52.
• Michal M, Bisceglia M, Di Mattia A, Requena L, Fanburg-Smith JC, Mukensnabl P, et al. Gigantic cuta- neous horns of the scalp: lesions with a gross similar- ity to the horns of animals: a report of four cases. Am J Surg Pathol 2002;26:789-94.
• Souza LN, Martins CR, de Paula AM. Cutaneous horn occurring on the lip of a child. Int J Paediatr Dent 2003; 13:365-7.
• Stavroulaki P, Mal RK. Squamous cell carcinoma presenting as a cutaneous horn. Auris Nasus Larynx 2000;27:277-9.
• Mencía-Gutiérrez E, Gutiérrez-Díaz E, Redondo- Marcos I, Ricoy JR, García-Torre JP. Cutaneous horns of the eyelid: a clinicopathological study of 48 cases. J Cutan Pathol 2004;31:539-43.
• Schosser RH, Hodge SJ, Gaba CR, Owen LG. Cutaneous horns: a histopathologic study. South Med J 1979; 72:1129-31.
• Solivan GA, Smith KJ, James WD. Cutaneous horn of the penis: its association with squamous cell carci- noma and HPV-16 infection. J Am Acad Dermatol 1990; 23:969-72.
• Nahlieli O, Baruchin AM, Shapira Y, Ben-Dor D. Cutaneous horns occurring on the head and neck region: report of four cases and review of the litera- ture. J Oral Maxillofac Surg 1997;55:1309-11.
• 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.
• Kocatürk S, Ozdemir N, Erkam U, Uzun H, Babila A, Oztürk E. Evaluation of occult lymph node metastasis in lower lip cancers and approach to N(0) neck metas- tasis. [Article in Turkish] Kulak Burun Bogaz Ihtis Derg 2002;9:41-5.
• Unsal-Tuna E, Oksüzler O, Ozbek C, Ozdem C. Surgical management of lower lip cancers. [Article in Turkish] Kulak Burun Bogaz Ihtis Derg 2008;18:148-52.