Fibroepithelial Polyp With Actinic Keratosis at Its Base and a Cutaneous Horn Arising From Its Superior Pole: A Clinicodermoscopic-Histopathologic Correlation.

We report an uncommon tripartite topography in a 59-year-old man with chronically photodamaged facial skin, comprising a fibroepithelial polyp with actinic keratosis at its base and a cutaneous horn arising from its superior pole. This case illustrates how unusual structural associations may emerge in actinically damaged skin and broadens the spectrum of horn-bearing lesions. It also underscores the importance of complete excision with integrated clinicodermoscopic-histopathologic correlation for precise characterization and exclusion of invasive carcinoma.