Pencil-core granuloma.
Noncaseating granulomas present as a delayed foreign-body reaction to retained pencil-core fragments. The clinical appearance of the lesion can closely resemble melanoma. Surgeons who use pencils as surgical marking implements should be aware that there is a potential risk of developing late pencil-core granulomas. This risk can be reduced by carefully removing any pieces of pencil lead from the wound.
Granick
M S
MS
Department of Surgery (Plastic), Hahnemann University, Philadelphia, Pa.
Erickson
E R
ER
Solomon
M P
MP
D000328:Adult; D015745:Granuloma, Foreign-Body / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male