RT Book, Section A1 Karnes, Jonathan B. A2 Usatine, Richard P. A2 Smith, Mindy A. A2 Mayeaux, Jr., E.J. A2 Chumley, Heidi S. SR Print(0) ID 1164361410 T1 Cutaneous Horn T2 The Color Atlas and Synopsis of Family Medicine, 3e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9781259862045 LK accessmedicine.mhmedical.com/content.aspx?aid=1164361410 RD 2024/04/25 AB A 90-year-old woman presents with a hard keratotic papule on the right cheek that has grown over 6 months. It is tender to the touch and has a pink base (Figure 176-1). A shave biopsy through the base is consistent with a cutaneous horn derived from a well-differentiated squamous cell carcinoma (SCC). The patient undergoes an elliptical excision at the base of the horn in the office for definitive therapy.