Tosiou A, Kalogirou EM, Vlachodimitropoulos D, Tosios KI, Petsinis V. A graphite foreign body granuloma that caused palatal perforation. Case report and literature review.
J Clin Exp Dent 2024;
16:e656-e660. [PMID:
38988759 PMCID:
PMC11231888 DOI:
10.4317/jced.61474]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2024] [Accepted: 03/26/2024] [Indexed: 07/12/2024] Open
Abstract
Background
We present an unusual case of a graphite foreign body granuloma causing palatal perforation.
Case description
A 62-year-old female presented with a macule on the hard palate clinically consistent with a blue nevus. On biopsy a black nodular mass was excised, establishing oroantral communication that was verified by a computed tomography scan. A diagnosis of malignant melanoma was strongly suspected, but microscopic examination showed a graphite foreign body granuloma. It was suggested that the graphite was implanted in a thin area of the palatal bone causing perforation.
Conclusions
Graphite tattoos should be excised, both for diagnostics purposes and the possibility of causing tissue destruction by generating a foreign body granuloma reaction. Key words:Pencil core granuloma, graphite, foreign body, palate, case report.
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