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Cutaneous horn is a conical, dense hyperkeratotic protrusion composed of compact keratin that projects above the surface of the skin. Cutaneous horns most frequently occur in sun-exposed parts and are typically found on the face and scalp, but may arise from any part of the body. They are thought to result from underlying benign, premalignant or malignant pathology, in 61.1%, 23.2% and 15.7% of cases respectively [1].

Cutaneous horn over an old burn scar at external occipital protuberance