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Pencil-core granuloma* * Work performed at a private clinic - Belém (PA), Brazil.

Abstract:

Pencil core granulomas are still infrequently reported in the literature. A 67-year-old woman presented with a 4mm hard blue subcutaneous nodule on the forehead. She remembered being injured with a pencil tip about 60 years before. The subcutaneous nodule was excised, which microscopically revealed a foreign body reaction with histiocytes containing fragmented coarse black particles. We diagnosed pencil-core granuloma based on the patient’s history of pencil tip injury and histological examination findings.

Keywords:
Giant cells, foreign-body; Graphite; Granuloma, Foreign-body; Foreign bodies

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