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The pathologic findings after silica injection for inguinal hernia repair can be virtually indistinguishable from those of malignant fibrous histiocytoma. The CT appearance of a partially calcified inguinal soft tissue mass without bony destruction in older patients should raise the possibility of this uncommon entity. A history that includes silica injections will make proper pathologic interpretation and clinical management possible.
The pathologic findings after silica injection for inguinal hernia repair can be virtually indistinguishable from those of malignant fibrous histiocytoma. The CT appearance of a partially calcified inguinal soft tissue mass without bony destruction in older patients should raise the possibility of this uncommon entity. A history that includes silica injections will make proper pathologic interpretation and clinical management possible.