J Korean Soc Surg Hand.  2016 Jun;21(2):100-104. 10.12790/jkssh.2016.21.2.100.

Giant Wart as a Cutaneous Horn on the Dorsum of the Hand

• Cho HM
• Lee K
• Min W
• Choi YS

• KMID: 2328397
• DOI: http://doi.org/10.12790/jkssh.2016.21.2.100

Abstract

A 81-year-old female presented with a giant cutaneous horn (1.5×2×4 cm sized) over the right hand, rapid growth recent 6 months. Cutaneous horn was excised and split thickness skin graft of the defect was done under regional anesthesia. Histopathology showed overlying a wart. In the current study, we report the case of a patient with giant wart as a giant cutaneous horn in a dorsal side of hand.

Keyword

Cutaneous horn; Giant; Verucca; Wart

MeSH Terms

Aged, 80 and over
Anesthesia, Conduction
Animals
Female
Hand*
Horns*
Humans
Skin
Transplants
Warts*

Figure

• 

  Fig. 1. A horny growth of around 4 cm in length with a broad base over the dorsal aspect of the right hand.

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  Fig. 2. Excision of cutaneous horn (A), a cutting plane of the cutaneous horn (B).

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  Fig. 3. The histologic characteristics of this lesion is epidermal hyperplasia manifested by hyperkeratosis, parakeratosis, acanthosis, papillomatosis and elongation of rete ridges (H&E, x40) (A), Koilocytotic cells, characterized by small, round, deeply basophilic nuclei surrounded by a clear halo and pale-staining cytoplasm are also present (H&E, x400) (B).

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  Fig. 4. The lesion was completely excised surgically and the graft healed well without recurrence.

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