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Rodrigues Rodrigues R, Maia de Queiroz MS, da Silveira ÉJD, Freitas RDA, de Souza LB, de Andrade Santos PP. Identification of elastofibroma and elastofibroma-like lesions in cases diagnosed as oral fibromas. Biotech Histochem 2021; 96:608-615. [PMID: 33601995 DOI: 10.1080/10520295.2021.1882699] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
Abstract
We investigated elastofibromas (EF) and elastofibroma-like structures (EFL) in 95 cases that had been diagnosed as oral fibromas (OF). Histological sections were stained with Verhoeff-Van Gieson, Congo red and hematoxylin and eosin to enable possible reclassification to EF or EFL, or to retain the diagnosis of OF. To do this, we identified amyloid and used histopathological descriptions and epidemiological clinical profiles. We found 56 EF and 21 EFL cases, while 18 diagnoses of OF were retained. We observed a predilection for EF in females. Also, the most common site for OF was the cheek mucosa. We also found a longer time course for lesion development for OF compared to the other lesions. We found a relation between elastic fibers and amyloid material in EF. We also observed perivascular fibrotic lesions (PVFL) in EF. Most cases of EF exhibited more elastic fibers, thicker fibers, stronger relation with amyloid material deposition, rare evidence of PVFL and a longer time course for development compared to the other lesions. We suggest that EFL may give rise to oral EF.
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Affiliation(s)
| | - Maria Sara Maia de Queiroz
- Laboratory of Histological Techniques, Department of Morphology, Federal University of Rio Grande Do Norte, Natal, RN, Brazil
| | | | | | - Lélia Batista de Souza
- Department of Oral Pathology, Federal University of Rio Grande Do Norte, Natal, RN, Brazil
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Bilateral elastofibrolipoma: distinguishing from elastofibroma with adipose tissue migration. Case Rep Pathol 2015; 2015:967670. [PMID: 25628910 PMCID: PMC4300035 DOI: 10.1155/2015/967670] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2014] [Accepted: 12/17/2014] [Indexed: 11/24/2022] Open
Abstract
We present a case of a 54-year-old female patient. MRI examination showed a mass adjacent to the left scapula and a localized heterogeneous mass in the right subscapular area. Microscopic examination revealed abnormal elastic fibers and globules and mature adipose tissue mixed with collagen bands in all areas of the lesion. Genetic analysis was done and there were no changes in DNA copy number. The lesion was diagnosed as elastofibrolipoma which is a rare tumor. No bilateral elastofibrolipoma has been previously described.
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Braham E, Hergli I, Boudaya MS, Ismail O, Ayadi-Kaddour A, Kilani T, El Mezni F. Elastofibroma of scapula: a case report and literature review. ANNALS OF TRANSLATIONAL MEDICINE 2014; 1:31. [PMID: 25332975 DOI: 10.3978/j.issn.2305-5839.2013.05.01] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 04/16/2013] [Accepted: 05/06/2013] [Indexed: 11/14/2022]
Abstract
Elastofibromas are benign soft tissue tumors. They occur mostly in the infrascapular region between the thoracic wall, the serratus anterior and the latissimus dorsi muscle, with a prevalence of up to 24% in the elderly. The etiology of this lesion remains uncertain and is a source of ongoing debate. We herein report a 54-year-old female patient, manual worker who presented with bilateral subscapular slow growing tumors for 7 months. Physical examination showed two masses of 4 cm in diameter on the right, and 8 cm on the left, both located inferior to the inferior margin of the scapula. They were more or less firm and mobile on palpation. Computed tomography scan showed large fusiform subscapular soft tissue heterogeneous solid masses with linear areas of low density secondary to fat. The lesions measured 5 cm × 4 cm on the right side and 8 cm × 8 cm on the left. Resection of the largest left tumor was achieved. Macroscopic and histological findings were consistent with elastofibroma.
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Affiliation(s)
- Emna Braham
- 1 Department of Pathology, Abderrahmen Mami Hospital, Ariana, Tunisia ; 2 Department of Thoracic Surgery, Abderrahmen Mami Hospital, Ariana, Tunisia
| | - Ilhem Hergli
- 1 Department of Pathology, Abderrahmen Mami Hospital, Ariana, Tunisia ; 2 Department of Thoracic Surgery, Abderrahmen Mami Hospital, Ariana, Tunisia
| | - Mohamed Sadok Boudaya
- 1 Department of Pathology, Abderrahmen Mami Hospital, Ariana, Tunisia ; 2 Department of Thoracic Surgery, Abderrahmen Mami Hospital, Ariana, Tunisia
| | - Olfa Ismail
- 1 Department of Pathology, Abderrahmen Mami Hospital, Ariana, Tunisia ; 2 Department of Thoracic Surgery, Abderrahmen Mami Hospital, Ariana, Tunisia
| | - Aida Ayadi-Kaddour
- 1 Department of Pathology, Abderrahmen Mami Hospital, Ariana, Tunisia ; 2 Department of Thoracic Surgery, Abderrahmen Mami Hospital, Ariana, Tunisia
| | - Tarek Kilani
- 1 Department of Pathology, Abderrahmen Mami Hospital, Ariana, Tunisia ; 2 Department of Thoracic Surgery, Abderrahmen Mami Hospital, Ariana, Tunisia
| | - Faouzi El Mezni
- 1 Department of Pathology, Abderrahmen Mami Hospital, Ariana, Tunisia ; 2 Department of Thoracic Surgery, Abderrahmen Mami Hospital, Ariana, Tunisia
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Painful elastofibroma dorsi: a report of a case and a brief review of the literature. Case Rep Orthop 2013; 2013:794247. [PMID: 23401824 PMCID: PMC3557630 DOI: 10.1155/2013/794247] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2012] [Accepted: 12/27/2012] [Indexed: 11/17/2022] Open
Abstract
Elastofibroma dorsi (ED) is an uncommon, slow-growing, benign, soft tissue tumor of unclear pathogenesis, typically located at the subscapular region of elderly people. It may be unilateral or bilateral. Though many patients are asymptomatic, ED can cause local deformity and symptoms such as periscapular pain or discomfort. Herein we report a case of a 65-year-old woman with painful ED. Clinical features, radiodiagnostic, intraoperative, and pathologic findings, and a brief review of the literature are performed.
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