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[Penile cutaneous horn. A clinical case]
J M Conde Sánchez1, J Rico López, P Blasco Hernández
1Servicio de Urología, Hospital Universitario de Valme, Sevilla.
Actas Urologicas Espanolas
|June 1, 2000
Summary
This case report details a penile cutaneous horn surgically treated with extensive resection. Histopathology revealed a well-differentiated, microinvasive epidermoid carcinoma, highlighting the need for thorough surgical management.
Area of Science:
- Dermatology
- Urology
- Surgical Pathology
Background:
- Cutaneous horns are uncommon penile lesions.
- While often benign, malignant transformation can occur.
- Early and accurate diagnosis is crucial for effective treatment.
Observation:
- A case of penile cutaneous horn is presented.
- The lesion was surgically treated with extensive resection of the implantation base.
- Histopathological examination revealed a well-differentiated, microinvasive epidermoid carcinoma arising from a hyperkeratotic squamous papilloma.
Findings:
- Malignant changes can be present in up to one-third of cutaneous horn cases.
- The underlying lesion in this case demonstrated epidermoid carcinoma.
- Extensive resection of the implantation base is critical for complete tumor removal.
Implications:
- This case underscores the importance of considering malignancy in penile cutaneous horns.
- Aggressive surgical management, including wide resection, is recommended to prevent recurrence and metastasis.
- Further research into risk factors and optimal treatment strategies for penile cutaneous horns is warranted.