A Curious Case of Cutaneous Horn

Cutaneous horns are uncommon lesions that occur as conical projections in various sun-exposed parts of the body. They are made of hyperkeratotic material and look similar to animal horns. These lesions lack a central bony core that differentiates them from the animal horns. They are frequently associated with various benign, premalignant, and malignant lesions, and therefore carry a clinical significance. We present a case of a 58-year-old gentleman who presented with a conical projection over the center of the forehead, which was clinically diagnosed as a cutaneous horn. Excision of the horn along with the base was done, and the histopathology revealed benign seborrheic keratosis as the underlying lesion. The excision of small lesions along with their bases or biopsy of the base of large lesions is of paramount importance in the management of cutaneous horns.