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Delayed reaction to suture material simulating melanoma.

A Frumkin1, S Gorbacz, B Lifschitz-Mercer

  • 1Dermatology Unit, Kaplan Hospital, Rehovot, Israel.

Cutis
|January 1, 1992
PubMed
Summary
This summary is machine-generated.

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A scalp lesion initially suspected as melanoma after head trauma and burr holes was diagnosed as a granuloma. This case highlights foreign material potentially simulating cutaneous neoplasia years after injury.

Area of Science:

  • Dermatology
  • Pathology
  • Neurosurgery

Background:

  • A 21-year-old female sustained severe facial and scalp trauma.
  • Exploratory burr holes were created due to neurological decline.

Observation:

  • Fifteen years post-trauma, a 6 mm black, tender nodule appeared on the left temple near a burr hole site.
  • The lesion was initially suspected to be nodular melanoma.

Findings:

  • Microscopic examination revealed the lesion to be a granuloma.
  • Evidence of transepidermal elimination of exogenous filamentous material was observed.

Implications:

  • This case suggests foreign bodies can simulate cutaneous neoplasia years after trauma.
  • Understanding this relationship is crucial for accurate dermatological diagnosis.

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