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Case: An unusual case of a foreign body in the hand is described here. Excision of a tumor-like soft tissue mass revealed a 75-year-old World War II bullet fragment of which patient was unaware., Conclusion: Differential diagnosis of hand lumps and inflammatory reaction must always include retained foreign bodies even after a very long period of posttraumatic quiescence or patient's inability to provide a relative injury case history., Competing Interests: The authors declare that there is no conflict of interest., (Copyright © 2020 Efstratios D. Athanaselis et al.)