A graphite foreign body granuloma that caused palatal perforation. Case report and literature review.

Journal

Journal of clinical and experimental dentistry
ISSN: 1989-5488
Titre abrégé: J Clin Exp Dent
Pays: Spain
ID NLM: 101603132

Informations de publication

Date de publication:
May 2024
Historique:
received: 21 02 2024
accepted: 26 03 2024
medline: 11 7 2024
pubmed: 11 7 2024
entrez: 11 7 2024
Statut: epublish

Résumé

We present an unusual case of a graphite foreign body granuloma causing palatal perforation. 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. Graphite tattoos should be excised, both for diagnostics purposes and the possibility of causing tissue destruction by generating a foreign body granuloma reaction.

Sections du résumé

Background UNASSIGNED
We present an unusual case of a graphite foreign body granuloma causing palatal perforation.
Case description UNASSIGNED
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 UNASSIGNED
Graphite tattoos should be excised, both for diagnostics purposes and the possibility of causing tissue destruction by generating a foreign body granuloma reaction.

Identifiants

DOI: 10.4317/jced.61474 PMID: 38988759 PMC: PMC11231888
pubmed: 38988759
doi: 10.4317/jced.61474
pii: 61474
pmc: PMC11231888
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Pagination

e656-e660

Informations de copyright

Copyright: © 2024 Medicina Oral S.L.

Déclaration de conflit d'intérêts

The authors declare no conflict of interest.

Auteurs

Athina Tosiou (A)

Senior student, Dental School, University of Athens, Athens, Greece.

Eleni-Marina Kalogirou (EM)

DDS, MSc, PhD. Faculty of Health and Rehabilitation Sciences, Metropolitan College, Athens, Greece.

Dimitrios Vlachodimitropoulos (D)

MD, PhD. Professor, Department of Forensics and Toxicology, Medical School, University of Athens, Athens, Greece.

Konstantinos I Tosios (KI)

DDS, PhD. Associate Professor, Department of Oral Medicine & Pathology and Hospital Dentistry, Dental School, University of Athens, Athens, Greece.

Vasileios Petsinis (V)

DDS, MD, PhD. Assistant Professor, Department of Oral and Maxillofacial Surgery, Dental School, University of Athens, Athens, Greece.

Classifications MeSH