Journal List > J Korean Soc Surg Hand > v.21(2) > 1106521

Cho, Lee, Min, and Choi: Giant Wart as a Cutaneous Horn on the Dorsum of the Hand

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.

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Fig. 1.
A horny growth of around 4 cm in length with a broad base over the dorsal aspect of the right hand.
jkssh-21-100f1.tif
Fig. 2.
Excision of cutaneous horn (A), a cutting plane of the cutaneous horn (B).
jkssh-21-100f2.tif
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).
jkssh-21-100f3.tif
Fig. 4.
The lesion was completely excised surgically and the graft healed well without recurrence.
jkssh-21-100f4.tif
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