title: Pencil-core granuloma.
abstract: 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.
authors.affiliation: Department of Surgery (Plastic), Hahnemann University, Philadelphia, Pa.
authors.forename: M S
authors.initials: MS
authors.lastname: Granick
authors.forename: E R
authors.initials: ER
authors.lastname: Erickson
authors.forename: M P
authors.initials: MP
authors.lastname: Solomon
mesh_terms: D000328:Adult; D015745:Granuloma, Foreign-Body / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male