title: Giant Cutaneous Horn Overlying A Verruca at an Uncommon Site: Medical Marvel vs Superstitious Dilemma.
abstract: Cutaneous horn has been a matter of discussion to mankind since time immemorial and a subject of fascination for the layman. There have been instances where certain groups saw it with angst and disgust, with a person having a large cutaneous horn on an exposed area getting a dismal look. We present a case of a 64-year-old man with a giant cutaneous horn over his left gluteal region. Cutaneous horns more commonly present in the sun-exposed areas. In our case it has presented in an uncommon site. The patient had delayed and denied medical treatment due to his superstitious beliefs, after having sought advice from faith healers leading to progression of the disease. This case has been presented for its giant size (rare variety), its location being over the gluteal region (photo-protected site) and its benign histopathology suggestive of wart in spite of the giant size.
authors.affiliation: Assistant Professor, Department of General Surgery, Yenepoya Medical College, Yenepoya University , Mangalore, Karnataka, India .
authors.forename: Karthik Kathladka
authors.initials: KK
authors.lastname: Sanjeeva
authors.affiliation: Professor, Department of General Surgery, Yenepoya Medical College, Yenepoya University , Mangalore, Karnataka, India .
authors.forename: Puttur Sainuddin Mohammed Ameer
authors.initials: PS
authors.lastname: Ali
authors.affiliation: Assistant Professor, Department of Dermatology, Yenepoya Medical College, Yenepoya University , Mangalore, Karnataka, India .
authors.forename: Malcolm
authors.initials: M
authors.lastname: Pinto
authors.affiliation: Post Graduate, Department of General Surgery, Yenepoya Medical College, Yenepoya University , Mangalore, Karnataka, India .
authors.forename: Srikar
authors.initials: S
authors.lastname: Rao
authors.affiliation: Post Graduate, Department of General Surgery, Yenepoya Medical College, Yenepoya University , Mangalore, Karnataka, India .
authors.forename: Arvind Shivram
authors.initials: AS
authors.lastname: Rai
keywords: Horn; Koilocytes; Malignancy