History

Figure 1
Figure 1. Tumor on volar aspect of left forearm.

An 82-year-old white woman presented with a raised, 3x4 cm, painless growth on her left forearm. The lesion had been present for approximately 2 months and was not associated with any symptoms. The patient had a history of a previous skin cancer on her lower extremity. Physical examination demonstrated a cone-shaped keratotic cutaneous horn as shown in Figure 1 & 2. Histopathologic findings are shown in Figure 3.

Figure 2	Figure 3
Figure 2. Close-up view of the tumor surmouted by cutaneous horn.
Figure 3. Histology of the lesion.