Cutaneous horns are conical projections occurring in different parts of the body preferably sun exposed areas. Lesions are clinically significant as they have potential for harboring premalignant and malignant entities. Histologically consists of hyperkeratotic material and look similar to animal horns except lack a central bony core that differentiates them from the animal horns. We present a case of a 51-year-old man who presented with a conical projection over the center of the scalp for 8 years, the horn was detached 8 months prior visiting us but regrew, and clinically it was diagnosed as a cutaneous horn. Excision of the horn along with the base was done spacemen taken for histopathological examination which showed no malignant changes. The standard treatment of choice for cutaneous horn is excision of the lesion with adequate margins followed by histological confirmation for further treatment course.
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