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Management

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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If left untreated the tumour will resolve spontaneously. However, it is usual to remove the tumour because:

  • it is not possible to be certain that it is not a squamous cell carcinoma
    • a study examining underlying causes of cutaneous horns found that 23% were due to either malignant or premalignant conditions
    • in light of possible risk of squamous cell carcinoma then an urgent dermatology review is required
  • spontaneous resolution leaves an atrophic scar that is often cosmetically unattractive

Surgical excision provides the best specimen for histological examination and a good cosmetic result. Other standard treatment measures include curettage or cryotherapy.

Both low dose radiotherapy and intralesional 5-fluorouracil have been used successfully.

Reference:

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