Cutaneous Penile Horn

This is a rare exophytic, conical, keratotic mass, which arises in areas of chronic inflammation (Fig. 5.7) . Little is known about its pathogenesis, but longstanding preputial inflammation and phimosis are known to play an important role.48,49 Histological examination can reveal areas of keratoacanthoma, and even intraepithelial carcinoma. They have a risk of malignant transformation into low-grade verrucous or keratinizing SCC, reported in approximately 30% of cases.50,51

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