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Giant cutaneous horns (GCH) present as isolated skin lesions with large corneous components of considerable morphologic variation. Despite their striking clinical appearance, prevalence statistics are unknown due to their rarity. Diagnosis of the underlying pathology is essential for appropriate management, as a significant proportion of cutaneous horns arise in the setting of a cutaneous malignancy [1,2].

A Pedunculated Giant Cutaneous Horn Variant Overlying Invasive Squamous Cell Carcinoma of the Scalp