Indian Journal of Ophthalmology

: 1967  |  Volume : 15  |  Issue : 3  |  Page : 123--124


RK Mishra, S Agrawal 
 Department of Ophthalmology and Pathology, Medical College, Jabalpur, M.P., India

Correspondence Address:
R K Mishra
Department of Ophthalmology and Pathology, Medical College, Jabalpur, M.P.

How to cite this article:
Mishra R K, Agrawal S. Cornu-cutaneum.Indian J Ophthalmol 1967;15:123-124

How to cite this URL:
Mishra R K, Agrawal S. Cornu-cutaneum. Indian J Ophthalmol [serial online] 1967 [cited 2022 Dec 2 ];15:123-124
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Full Text

Cornu cutaneum are very interesting and rare tumours. They are seen usually in elderly people on the scalp, forehead nose, glans penis and skin of the lids. In the eye the usual sites are the margins of the lids specially at the external canthus. They form epidermal growth of the corneous material resem­bling the horns of animals. Whereas the exact aetiology is not known, these tumors are known to occur on the sites of the old scars, warts, sebacious cysts or calcifying carcinomata. (Lund. 1957). It is not certain if there is any element of a precancerous change in the site. These tumours are occasionally seen in children.

 Case Report

Pt. D. male 60 years, came to us with complaints of itching and smart­ing at the root of the growth for the last 3 months. The growth on the left upper lid at the junction of lateral and middle thirds started 8 months back. The growth was dirty brown, waxy firm, uneven conical mass measuring 1.5 cm x 0.8 cm. The entire growth was attached to the skin only. There was no pain or tenderness near about.

The mass was removed under local anaesthesia. The underlying orbicularis slip was found to be almost atrophied but the tarsal plate showed no change.

The recovery was uneventful.


The excised mass was hard in con­sistancy. Histologically it consisted of compact laminated keratin overlying a normally differentiated epidermis. Moderate degree of acanthosis was pre­sent but there was no increase in pig­ments. The epidermis did not show any evidence of malignancy. [Figure 2].

This case is reported because cornu cutaneum are considered rare tumours. To our knowledge, this is the first case reported from India and we have found no report of it in the leading ophthalmic journals in the English lan­guage in the last 10 years.

The growth of the tumor was fast. There was no evidence of malignancy.


A typical case of cornu cutaneum of the upper lid in an elderly patient is reported. The growth of 1.5 cm. oc­curred in 8 months. There was no evidence of malignancy. Recovery after excision was uneventful.[1]


1Lund, H. Z. (1957), Tumors of the Skin. Atlas of tumor-pathology section-1, Fascicle-2. Armed forces in­stitute of Pathology. Washington. pp. 156.