Üst dudakta skuamöz hücreli karsinom ile birlikte görülen kütanöz boynuz

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

Cutaneous horn on the upper lip associated with squamous cell carcinoma

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.

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