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Silicone implant for chin augmentation mimicking a low-grade liposarcoma
Eduardo Sanches Gonçales1, Aroldo dos Santos Almeida, Simone Soares
1Biological and Health Sciences Center, Area of Oral and Maxillofacial Surgery and Traumatology, Sagrado Coração University, Bauru, São Paulo, Brazil.
Abstract:
The silicone implant has been widely used in facial aesthetic surgery for chin augmentation. A case of a 71-year-old woman with a lesion in the anterior mandibular region detected by radiographies and suggestive of benign soft tissue tumor is presented. The patient denied previous surgical intervention in the mental area. A biopsy was performed and initially interpreted as low-grade liposarcoma. After an immunohistochemistry study showing CD-68-positive cells and complementary information regarding a silicone implant for chin augmentation, the definitive diagnosis was silicone granuloma. This case reinforces that silicone implant in the mandibular region can be misdiagnosed as malignant tumor and the correct diagnosis is heavily dependent on close collaboration between clinician and pathologist in order to avoid unnecessary surgical intervention.
