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Çevik HB, Girgin AB, Gökçe A, Kurtuluş B. Isolated Elastofibroma of the Thigh: A Case Report. Cureus 2023; 15:e42174. [PMID: 37602062 PMCID: PMC10439481 DOI: 10.7759/cureus.42174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/19/2023] [Indexed: 08/22/2023] Open
Abstract
A 55-year-old female presented with elastofibroma of the thigh. On presentation, she complained of a palpable, painful mass on the anterolateral right thigh that had been present for one year. She had a history of surgery for a right femur fracture. On MRI, a soft-tissue mass was seen in the vastus intermedius muscle, as a heterogeneous lesion with streaky fatty and fibrous components. The fibrous component was isointense to the muscle, and the fatty component had a high signal on both T1- and T2-weighted images. Histopathological analysis after biopsy established the diagnosis of elastofibroma.
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Affiliation(s)
| | | | - Aysun Gökçe
- Pathology, Ankara Etlik City Hospital, Ankara, TUR
| | - Burhan Kurtuluş
- Orthopedics and Traumatology, Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, TUR
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Subscapular elastofibrolipoma treated with marginal resection: two case reports. J Med Case Rep 2022; 16:296. [PMID: 35915504 PMCID: PMC9344634 DOI: 10.1186/s13256-022-03522-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2022] [Accepted: 07/10/2022] [Indexed: 11/25/2022] Open
Abstract
Background Elastofibroma dorsi is a rare benign tumor of soft tissue, typically under the lower angle of the scapula. Its specific location and distinctive clinical symptoms can provide enough information for diagnosis. Nevertheless, pathological confirmation by biopsy may be needed to rule out other malignancies. Case presentation Here, we present two cases of 63-year-old and 49-year-old female Asian patients who came to us with the chief complaint of pain and bulging in their shoulders. Both patients had rubbery and mobile masses. Also, shoulder movements were not restricted in the examination; however, the patients expressed pain during movements. Computed tomography scans were compatible with the diagnosis of elastofibroma dorsi. Surgical excision was performed for both cases owing to the symptomatic nature of the masses, and histopathological findings confirmed the diagnosis. Conclusion Elastofibroma dorsi is a benign pseudotumor presenting with an uncomfortable feeling in the shoulder with movement in older females. In typical symptom-free cases of elastofibroma dorsi, observation is sufficient, while in symptomatic patients or if there is suspicion of malignancy, complete resection with marginal resection is the treatment of choice.
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Dzian A, Malík M, Hamada L, Marcinek J. Bilateral Subscapular Masses Diagnosed as Elastofibroma Dorsi. Indian J Surg 2021. [DOI: 10.1007/s12262-021-02875-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Neagoe O, Faur CI, Ionică M, Baderca F, Folescu R, Gurgus D, Zamfir CL, Motoc A, Grigoraș ML, Mazilu O. Elastofibroma Dorsi, a Rare Condition, with Challenging Diagnosis. Case Report and Literature Review. ACTA ACUST UNITED AC 2021; 57:medicina57040370. [PMID: 33921212 PMCID: PMC8070463 DOI: 10.3390/medicina57040370] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2021] [Revised: 04/04/2021] [Accepted: 04/07/2021] [Indexed: 12/25/2022]
Abstract
Elastofibroma dorsi (ED) is known as a particular clinical and biological entity. We report a case of a bilateral elastofibroma dorsi (ED) in a 65-year-old female who presented to the Department of General and Oncologic Surgery of Emergency Clinical Municipal Hospital Timisoara, Romania. The patient was symptomatic on the right side, presenting pain in the interscapulothoracic region associated with a variable tumoral mass, dependent on the position of the right arm. Imaging studies revealed a well-defined, bilateral tumoral mass with alternation of the muscular and fatty tissue. The initial diagnosis of lipoma was taken into consideration based on the CT scan and clinical findings. Surgical excision of the right subscapular tumor was performed without any postoperative complications. Microscopic examination of hematoxylin and eosin, Masson’s trichrome, and orcein stained slides revealed the diagnosis of ED. Considering the high rate of reported postoperative complications and the asymptomatic presentation of the contralateral subscapular mass, the patient underwent clinical and imagistic monitoring for the contralateral tumor. Due to its rare nature, ED is a difficult preoperative diagnosis that can, however, be suggested by its specific location and may require an accurate histopathological examination for a final diagnosis.
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Affiliation(s)
- Octavian Neagoe
- First Department of Surgery, Second Discipline of Surgical Semiology, “Victor Babeș” University of Medicine and Pharmacy, Eftimie Murgu Sq. Nr.2, 300041 Timișoara, Romania; (O.N.); (O.M.)
| | - Cosmin Ioan Faur
- Department of Orthopedics, “Victor Babeș” University of Medicine and Pharmacy, Eftimie Murgu Sq. Nr.2, 300041 Timișoara, Romania
- Correspondence: (C.I.F.); (C.L.Z.); Tel.: +40-723-962-104 (C.I.F.); +40-744-571-673 (C.L.Z.)
| | - Mihaela Ionică
- Department of Functional Sciences, Discipline of Pathophysiology, “Victor Babeş” University of Medicine and Pharmacy, 300041 Timişoara, Romania;
| | - Flavia Baderca
- Department of Microscopic Morphology, “Victor Babeș” University of Medicine and Pharmacy, Eftimie Murgu Sq. Nr.2, 300041 Timișoara, Romania;
| | - Roxana Folescu
- Department of Balneology, Medical Recovery and Rheumatology, “Victor Babeș” University of Medicine and Pharmacy, Eftimie Murgu Sq. Nr.2, 300041 Timișoara, Romania; (R.F.); (D.G.)
| | - Daniela Gurgus
- Department of Balneology, Medical Recovery and Rheumatology, “Victor Babeș” University of Medicine and Pharmacy, Eftimie Murgu Sq. Nr.2, 300041 Timișoara, Romania; (R.F.); (D.G.)
| | - Carmen Lăcrămioara Zamfir
- Department of Morpho-Functional Sciences I, “Grigore T. Popa” University of Medicine and Pharmacy, 16 Universitatii Str., 700115 Iași, Romania
- Correspondence: (C.I.F.); (C.L.Z.); Tel.: +40-723-962-104 (C.I.F.); +40-744-571-673 (C.L.Z.)
| | - Andrei Motoc
- Department of Anatomy and Embryology, “Victor Babeș” University of Medicine and Pharmacy, Eftimie Murgu Sq. Nr.2, 300041 Timisoara, Romania; (A.M.); (M.L.G.)
| | - Mirela Loredana Grigoraș
- Department of Anatomy and Embryology, “Victor Babeș” University of Medicine and Pharmacy, Eftimie Murgu Sq. Nr.2, 300041 Timisoara, Romania; (A.M.); (M.L.G.)
| | - Octavian Mazilu
- First Department of Surgery, Second Discipline of Surgical Semiology, “Victor Babeș” University of Medicine and Pharmacy, Eftimie Murgu Sq. Nr.2, 300041 Timișoara, Romania; (O.N.); (O.M.)
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Diffusion MR: A New Diagnostic Tool for Elastofibroma Dorsi. MEDICAL BULLETIN OF SISLI ETFAL HOSPITAL 2020; 54:103-107. [PMID: 32377143 PMCID: PMC7192251 DOI: 10.14744/semb.2018.78309] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/23/2018] [Accepted: 04/04/2018] [Indexed: 11/21/2022]
Abstract
Elastofibroma dorsi is a benign lesion commonly presents as a palpable enlarging mass at the inferior pole of the scapula. Clinical presentation and radiological characteristics are often enough to suggest an accurate diagnosis. Increased awareness of the characteristic appearance and location of these benign lesions will increase radiologic diagnosis and decrease the need for biopsy. Ten patients were admitted with a complaint of asymptomatic or painful subcutaneous masses localized at subscapulary region. Thorax computed tomography, magnetic resonance imaging (MRI) and a new feasible technique in differential diagnosis with malignancy and probable diagnosis of elastofibroma dorsi and diffusion-weighted MRI were used for diagnosis. Surgery was applied to all patients, frozen-section biopsies of the lesions at the preoperative period, and final pathologies were all benign. Totally resection of whole lesions as en-bloc excision without any rest was performed at all patients. Postoperative and follow-up periods were uneventful. Diffusion MRI can play an important role in the future and save the patients, especially medically poor ones, from the potential risks of surgery. Necessary further examinations for probable bilaterally lesions will save the patient from the risk of a second operation.
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Al Dandan O, Hassan A, Al Muhaish M, AlMatrouk J, Almuhanna H, Hegazi T. Concomitant bilateral elastofibroma in the infrascapular and gluteal regions: a report of a rare case. BMC Musculoskelet Disord 2020; 21:16. [PMID: 31914985 PMCID: PMC6950919 DOI: 10.1186/s12891-020-3037-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/30/2019] [Accepted: 12/31/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Elastofibroma is a benign soft tissue tumor characterized by the presence of elastic fibers in a stroma of collagen and mature adipose tissue. It is reported to have a prevalence of 2.73%, as shown by a study through computed tomography (CT) images. However, multiple elastofibromas are uncommon. CASE PRESENTATION We report a case of concomitant bilateral elastofibroma in the infrascapular and gluteal regions. A 63-year-old male patient presented with a 6-month history of gradually increasing painless swellings in the upper back. On physical examination, firm, painless bilateral infrascapular masses were identified; these masses were more noticeable on forward arm flexion. Contrast-enhanced computed tomography showed well-defined bilateral infrascapular masses deep to the serratus anterior muscles as well as poorly defined bilateral gluteal masses with attenuation similar to that of the adjacent skeletal muscle. Magnetic resonance imaging revealed heterogenous masses with internal fatty streaks, consistent with elastofibroma. The histopathological diagnosis of elastofibroma was established based on the results of image-guided core-needle biopsy. The patient underwent surgical excision of both infrascapular elastofibromas with no post-operative complications. As the gluteal masses were incidental, surgical management was not warranted. CONCLUSION The presence of multiple elastofibromas is unusual. This report describes a rare case of multiple elastofibromas and its typical imaging features, and alerts us that elastofibromas are not exclusive to the periscapular region.
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Affiliation(s)
- Omran Al Dandan
- Department of Radiology, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Al-Khobar, Saudi Arabia
| | - Ali Hassan
- Department of Radiology, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Al-Khobar, Saudi Arabia
| | - Mona Al Muhaish
- Department of Radiology, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Al-Khobar, Saudi Arabia
| | - Jumanah AlMatrouk
- Department of Radiology, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Al-Khobar, Saudi Arabia
| | - Haidar Almuhanna
- Department of Radiology, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Al-Khobar, Saudi Arabia
| | - Tarek Hegazi
- Department of Radiology, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Al-Khobar, Saudi Arabia
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Bilateral and atypical localized elastofibroma dorsi in a patient with shoulder and back pain: A case report. Turk J Phys Med Rehabil 2019; 65:287-289. [PMID: 31663078 DOI: 10.5606/tftrd.2019.2903] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2018] [Accepted: 05/17/2018] [Indexed: 11/21/2022] Open
Abstract
A 61-year-old woman presented with localized back pain at the left inferomedial border of the scapula and left shoulder pain. On physical examination, a soft tissue mass was detected on the left scapula. Magnetic resonance imaging showed a mass at the left suprascapular region and another mass in the left infrascapular region. A Tru-Cut biopsy of the lesion at the left suprascapular region was obtained due to atypical localization. Pathological examination was consistent with an elastofibroma. During wire-marking, another mass was detected at the right infrascapular region. Three mass lesions were excised on consecutive operations. During follow-up, the patient reported reduced shoulder and back pain.
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Pillay Y, Sabarathnam R. Elasto fibroma Dorsi: a case report of bilateral tumours and excision of the symptomatic lesion in a male patient. J Surg Case Rep 2017; 2017:rjx206. [PMID: 29230279 PMCID: PMC5691368 DOI: 10.1093/jscr/rjx206] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2017] [Accepted: 10/17/2017] [Indexed: 11/14/2022] Open
Abstract
Elasto fibroma dorsi is a rare tumour of the shoulder girdle that usually arises at the infra scapular area. We present a 57-year-old male with a soft tissue swelling on his right infra scapular area of 6 months duration. It was a painless lesion which caused him discomfort while sleeping. Preoperative imaging revealed bilateral tumours but the left tumour was impalpable. The surgery itself was uneventful but post-operatively he developed a haematoma which was managed conservatively Elasto fibroma is a benign pseudo tumour of the shoulder girdle. It’s aetiology is tied in to repetitive trauma of the shoulder girdle resulting in a pseudo tumour at the infra scapular area. Magnetic resonance imaging is the diagnostic modality of choice and is pathognomic in the presence of bilateral infra scapular tumours. Treatment is usually conservative and tissue diagnosis is essential as it can mimic a soft tissue sarcoma radiologically.
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Affiliation(s)
- Yagan Pillay
- Department of General Surgery, University of Saskatchewan, Saskatchewan, Canada
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Abstract
The scapula plays a central role in shoulder motion and stability. A wide variety of anatomic variants as well as traumatic, neoplastic, and infectious pathologies can involve the scapula. Detection of scapular lesions using radiography can be challenging because of the obscuration by the overlying structures or incomplete imaging during shoulder magnetic resonance imaging or computed tomography examinations. Familiarity with imaging characteristics of these abnormalities will allow radiologists to better diagnose and characterize scapular disorders.
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Martin SP, Gariani J, Tabouret Viaud C. Unusual Presentation of Elastofibroma Dorsi on 18F-FDG-PET/CT: A Case Report. Medicine (Baltimore) 2016; 95:e2832. [PMID: 26886641 PMCID: PMC4998641 DOI: 10.1097/md.0000000000002832] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
A 70-year-old male patient underwent an Fluorodeoxyglucose-positron emission tomography-computed tomography for staging of a left parahilar lung neoplasm found during work-up for fatigue and asthenia. The scan demonstrated a hypermetabolic lung tumor, a hypermetabolic pleural effusion and 4 hypermetabolic bilateral soft tissue lesions of the chest wall corresponding to 4 elastofibroma dorsi. Initially, the oncologic disease was classified as stage IV because of the hypermetabolic pleural effusion. A transbronchial biopsy showed squamous cell carcinoma and the cytology of the pleural effusion revealed no malignant cells. As the other 4 hypermetabolic thoracic wall lesions were correctly diagnosed as benign despite their unusual presentation, the patient underwent surgery by left pneumonectomy and mediastinal lymphadenectomy. The lymph node involvement required adjuvant chemotherapy. Diagnostic confidence of the benignity of the hypermetabolic chest wall lesions allowed a more aggressive treatment with a better outcome after a malignant pleural effusion was excluded.
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Affiliation(s)
- Steve P Martin
- From the Department of Imaging and Medical Information Sciences, Radiology (SPM, JG); and Department of Imaging and Medical Information Sciences, Nuclear Medicine (CTV), Geneva University Hospital, Geneva, Switzerland
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Minarro JC, Urbano-Luque MT, López-Jordan A, Roman-Torres M, Carpintero-Benítez P. The comparison of measurement accuracy among three different imaging modalities in evaluating elastofibroma dorsi. An analysis of 52 cases. INTERNATIONAL ORTHOPAEDICS 2015; 39:1145-9. [PMID: 25795250 DOI: 10.1007/s00264-015-2740-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/27/2015] [Accepted: 03/04/2015] [Indexed: 10/23/2022]
Abstract
PURPOSE Elastofibroma dorsi (ED) is a rare soft-tissue tumour. Diagnosis is made using imaging, mainly magnetic resonance due to its higher sensitivity and specificity in soft tissues. No agreement exists when deciding which imaging test must be used. Often multiple tests are made in the same patient, increasing time and costs. The aim of this paper is to compare the usual imaging exams and evaluate which one is the most accurate when diagnosing and measuring ED. METHODS A retrospective review was made of those patients who were diagnosed and operated for ED since January 2006 to December 2013. Fifty-two ED were included (19 men, 25 women), and eight of them were bilaterally affected. They were divided into three different groups according to the imaging test used: ultrasound (US) computed tomography (CT) and magnetic resonance (MR). After surgery the pieces were sized and compared with the measurements made by imaging exams. RESULTS Two hundred fourteen measures were analysed (40 US, 33 CT and 34 MR with their pathological equivalent). When CT group and its corresponding AP were analysed, no significant differences between them were founded (p > 0.05). Moreover, we analysed absolute differences between measures. In the US group a mean difference of 2.23 ± 1.87 cm was obtained. In the CT group, the mean difference was 1.22 ± 0.97 cm. Likewise, the difference of the MR group was 1.62 ± 1.15 cm. CONCLUSIONS This study demonstrates that the CT obtains a higher correlation than MR when determining the size of ED.
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Affiliation(s)
- Jose Carlos Minarro
- Orthopaedics and Traumatology Department, University Hospital Reina Sofía, Córdoba, Spain,
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Sarici IS, Basbay E, Mustu M, Eskut B, Kala F, Agcaoglu O, Akici M, Ozkurt E. Bilateral elastofibroma dorsi: A case report. Int J Surg Case Rep 2014; 5:1139-41. [PMID: 25437657 PMCID: PMC4275815 DOI: 10.1016/j.ijscr.2014.10.032] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2013] [Revised: 03/12/2014] [Accepted: 10/07/2014] [Indexed: 11/23/2022] Open
Abstract
INTRODUCTION Elastofibroma dorsi(EFD) is slow-growing, benign, soft tissue tumor of unclear pathogenesis, typically located at the subscapular region of elderly people. It may be unilateral or bilateral. As it exhibits benign behavior, it should be surgically removed only in symptomatic patients. Magnetic resonance imaging (MRI) is a useful tool for assessment of EFD and can potentially help avoid the need for unnecessary biopsy and surgery. PRESENTATION OF CASE A 62-year-old woman presented with 2 years complaint of back pain, particularly aggravated with shoulder movements and swelling with bilateral elastofibroma dorsi. Both masses were totally excised with bilateral posterolateral subscapular incision. Symptoms were completely controlled and significant discomfort from the surgical procedure was completely resolved with in a few weeks interval from the operation. DISCUSSION The pathogenesis of the EFD still remains unclear. Elastofibroma dorsi has an unspecific clinical presentation and can be confused with other tumors of the periscapular region Imaging studies are useful for diagnosis. CONCLUSION Elastofibroma dorsi is benign soft tissue tumor mostly observed in the subscapular regions of elderly female patients. The surgery is indicated in symptomatic cases and must be confined to simple excision of the lesion.
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Affiliation(s)
- Inanc Samil Sarici
- Department of General Surgery, Kadirli State Hospital, Osmaniye, Turkey.
| | - Elif Basbay
- Department of Radıology, Kadirli State Hospital, Osmaniye, Turkey
| | - Mehdi Mustu
- Department of Orthopedics, Kadirli State Hospital, Osmaniye, Turkey
| | - Burak Eskut
- Department of Respiratory Diseases, Kadirli State Hospital, Osmaniye, Turkey
| | - Ferhat Kala
- Department of General Surgery, Kadirli State Hospital, Osmaniye, Turkey
| | - Orhan Agcaoglu
- Istanbul Medical Faculty, Department of General Surgery, Istanbul University, Istanbul, Turkey
| | - Murat Akici
- Istanbul Medical Faculty, Department of General Surgery, Istanbul University, Istanbul, Turkey
| | - Enver Ozkurt
- Istanbul Medical Faculty, Department of General Surgery, Istanbul University, Istanbul, Turkey
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Triple locations of elastofibroma dorsi: First case report and review. J Orthop 2014; 12:S133-6. [PMID: 26719607 DOI: 10.1016/j.jor.2014.06.013] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/08/2014] [Accepted: 06/29/2014] [Indexed: 11/22/2022] Open
Abstract
INTRODUCTION Elastofibroma is a rare benign fibroelastic tumor. CASE We report a case of a 44-year-old woman, operated 4 months ago for a left infrascapular desmoid tumor and presented for bilateral mass of the left suprascapular and right infrascapular regions which were surgically resected. The diagnosis of elastofibroma was made and also confirmed for the left infrascapular desmoid tumor. Six months later, she presented an asymptomatic left infrascapular recurrence. Monitoring was continued and the patient is still asymptomatic after 24 months. DISCUSSION We highlight the importance of imaging features understanding in order to avoid misdiagnosis and unnecessary surgical resection.
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Karakurt O, Kaplan T, Gunal N, Gulbahar G, Kocer B, Han S, Dural K, Sakinci U. Elastofibroma dorsi management and outcomes: review of 16 cases. Interact Cardiovasc Thorac Surg 2013; 18:197-201. [PMID: 24218496 DOI: 10.1093/icvts/ivt442] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVES Elastofibroma dorsi (ED) is a rare, benign lesion arising from connective tissue, usually found at the inferior pole of the scapula. To date, only a few small series have been reported in the English literature and there are few data about the long-term outcomes after surgery. Our goal is to contribute a better understanding of this tumour and to determine the long-term outcomes after surgery. METHODS Sixteen patients with a diagnosis of ED were identified from the unit's database. The clinical presentation, diagnosis, pathological evidences and long-term outcomes were evaluated. RESULTS There were 11 females and 5 males with a mean age of 61.1 years (range 38-78 years). The tumour was located on the right in 5 (31.2%) patients, on the left in 6 (37.5%) patients and bilaterally in 5 (31.2%). Six patients had painful scapular swelling resulting in restriction of movement of the shoulder whereas 10 reported only painful scapular mass. All 16 patients underwent complete resections. The tumour size ranged from 3 to 15 cm. The mean hospital stay was 3.1 ± 1.4 days with a morbidity of 18.75% (seroma observed in 3 patients). The mean follow-up was 58.4 ± 29.5 months (range 11-92 months). In 2 patients (12.5%) a new occurrence on the contralateral side was observed at the follow-up. CONCLUSIONS Elastofibroma dorsi is a rare, ill-defined, pseudotumoural lesion of the soft tissues. Surgical treatment can be proposed if the lesion is symptomatic. Furthermore, at the follow-up, the possibility of new occurrences on the contralateral side should be kept in mind.
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Affiliation(s)
- Ozgur Karakurt
- Department of Thoracic Surgery, Ankara Numune Teaching and Research Hospital, Ankara, Turkey
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15
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Domanski HA. Elastic fibers in elastofibroma dorsi by fine-needle aspiration. Diagn Cytopathol 2013; 42:609-11. [PMID: 23554149 DOI: 10.1002/dc.22959] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2012] [Revised: 10/08/2012] [Accepted: 12/31/2012] [Indexed: 11/06/2022]
Abstract
Fine-needle aspiration (FNA) features of elastofibroma dorsi (EFD) in a 56-year-old woman were evaluated. The patient presented with 5 cm soft tissue mass located between the inferior part of scapula and the chest wall. FNA smears were hypercellular, characterized by a mixture of uniform spindle cells, mature adipocytes, and collagen tissue fragments in varying proportions. The cytological findings included abundant degenerated elastic fibers presented as linear ("braid-like") and globular bodies with shell-like and stellate appearances with serrate borders, permitting a diagnosis of EFD. Occurrence of degenerated elastic fibers in FNA smears of elastofibroma is a highly diagnostic sign in the typical clinical setting and eliminates the need for preoperative histological examination.
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Affiliation(s)
- Henryk A Domanski
- Department of Pathology & Cytology, Lund University Hospital, S-221 85 Lund, Sweden
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Giannotti S, Bottai V, Dell'osso G, Bugelli G, Cazzella N, Guido G. Elastofibroma dorsi: case series of a rare benign tumour of the back. EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY AND TRAUMATOLOGY 2013; 23:643-5. [PMID: 23412196 DOI: 10.1007/s00590-012-1064-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/09/2012] [Accepted: 07/28/2012] [Indexed: 11/25/2022]
Abstract
We analyse this rare pseudotumour with few case reports in the orthopaedic literature. Elastofibroma dorsi is an uncommon benign soft tissue pseudotumour usually located at the lower pole of the scapula. This study is a clinical assessment of 5 patients. All the patients had their diagnosis based on clinical and MRI findings and had excision biopsy. The patients were followed for a mean period of 24 months. No patient had residual symptoms. We have only one recurrence. Surgical excision is recommended when it causes functional disability, compression symptoms, an asymmetric outline of the chest wall, or when it is more than 5 cm in diameter. Pre-operative tissue diagnosis is not necessary in most cases. Despite its rarity, the elastofibroma dorsi should always be suspected with the emergence of a swelling in the subscapularis, especially in females and in old age.
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Affiliation(s)
- S Giannotti
- Universita' Di Pisa II Clinica Ortopedica E Traumatologica, Via Paradisa 2, Pisa, Italy.
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Findikcioglu A, Kilic D, Karadayi Ş, Canpolat T, Reyhan M, Hatipoglu A. A thoracic surgeon's perspective on the elastofibroma dorsi: A benign tumor of the deep infrascapular region. Thorac Cancer 2013; 4:35-40. [DOI: 10.1111/j.1759-7714.2012.00139.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Bereni N, Carmassi M, Zinc JV, Casanova D. [Dorsi elastofibroma. About 14 cases, and review of the literature]. ANN CHIR PLAST ESTH 2012; 59:266-72. [PMID: 23010421 DOI: 10.1016/j.anplas.2012.07.016] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2012] [Accepted: 07/30/2012] [Indexed: 11/17/2022]
Abstract
Elastofibroma dorsi is a benign tumor which usually occurs at the inferior angle of the scapula. We retrospectively reviewed 14 cases of elastofibroma dorsi, in nine patients. The patients were hospitalized in the departments of plastic surgery, orthopedic surgery or visceral surgery. Mean age was 67 years. The location of the lesions (bilateral in five patients) was typical, in the thoracoscapular region. Nine lesions were removed surgically, six shoulders were asymptomatic after surgery. Elastofibroma is a rare, slow-growing lesion. It occurs in connective tissue of the infrascapular region of elderly patients. The pathogenesis of the lesion still remains unclear. MRI and computed tomography are useful for assessment of elastofibroma dorsi, and can potentially help avoid the need for unnecessary biopsy and surgery, especially in the asymptomatic patient. It should be surgically removed only in symptomatic patients.
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Affiliation(s)
- N Bereni
- Service de chirurgie plastique, hôpital la Conception, 147, boulevard Baille, 13385 Marseille cedex 5, France.
| | - M Carmassi
- Service d'anatomopathologie, hôpital Nord, chemin des Bourrely, 13915 Marseille cedex 20, France
| | - J-V Zinc
- Service de radiologie, hôpital La Conception, 147, boulevard Baille, 13385 Marseille cedex 5, France
| | - D Casanova
- Service de chirurgie plastique, hôpital la Conception, 147, boulevard Baille, 13385 Marseille cedex 5, France
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Elastofibroma dorsi: an uncommon benign pseudotumour. Sarcoma 2011; 2008:756565. [PMID: 18382611 PMCID: PMC2276598 DOI: 10.1155/2008/756565] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2007] [Accepted: 12/10/2007] [Indexed: 11/25/2022] Open
Abstract
Elastofibroma dorsi is an uncommon benign soft tissue pseudotumour usually located at the
lower pole of the scapula, deep to serratus anterior, and often attached to the periosteum of the ribs,
presenting with long history of swelling and occasionally pain and discomfort. This lesion is usually seen in patients over the age of 50 years and is not uncommonly mistaken as a malignant tumour because of its size and location deep to the periscapular muscles.
Review of the orthopaedic oncology database of 17 500 patients revealed that there were
15 patients with elastofibroma dorsi. There were 12 males and 3 females, mean age at diagnosis of 68.4 years range 51–79 years. The diagnosis was confirmed by MRI in 3 patients, excision biopsy in 3 patients, trucut biopsy in 8 patients and open biopsy in 1 patient.
Eight patients had excision of the lesion which was symptomatic. There have been no recurrences. We highlight the clinical and radiological presentation of elastofibroma dorsi to increase awareness of its existence and management.
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20
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Go PH, Meadows MC, Deleon EMB, Chamberlain RS. Elastofibroma dorsi: A soft tissue masquerade. INTERNATIONAL JOURNAL OF SHOULDER SURGERY 2011; 4:97-101. [PMID: 21655005 PMCID: PMC3100815 DOI: 10.4103/0973-6042.79797] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Elastofibroma dorsi (ED) is a soft tissue tumor found in the subscapular region. The pathogenesis of ED is unclear, but may involve a regenerative or reactive hyperproliferation due to mechanical microtrauma. Magnetic resonance imaging (MRI) is preferred to diagnose ED and complete excision is curative. When bilateral, subscapular masses are identified in the elderly patient and MRI characteristics are typical, biopsy and excision can be avoided. Symptomatic EDs should be excised, and recurrence is rare. Three hundred and thirty cases of ED have been reported since 1980. Fourteen case series and 43 isolated case reports involved 263 women and 67 men (F:M ratio = 3.9:1), with a mean age of 62 years (range 6–94 years). Bilateral ED was present in 164 patients and unilateral ED in 157. The reported prevalence in the elderly population ranges from a minimum of 2% to a maximum of 24%.
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Affiliation(s)
- Pauline H Go
- Saint George's University, School of Medicine, Grenada, West Indies
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21
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Blumenkrantz Y, Bruno GL, González CJ, Namías M, Osorio AR, Parma P. Characterization of Elastofibroma Dorsi with (18)FDG PET/CT: a retrospective study. ACTA ACUST UNITED AC 2011; 30:342-5. [PMID: 21466907 DOI: 10.1016/j.remn.2011.01.006] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2011] [Revised: 01/27/2011] [Accepted: 01/28/2011] [Indexed: 11/26/2022]
Abstract
UNLABELLED Elastofibroma dorsi has been described in the literature as an unusual tumor or pseudotumor. However, autopsies and imaging studies have revealed that it is a non-negligible finding. PURPOSE The aim of this study has been to illustrate and become familiar with this type of lesion in order to prevent misdiagnosis. MATERIALS AND METHODS From 3 December 2008 to 5 January 2010, 1,751 patients were evaluated with (18)FDG-PET/CT. Of these, 29 cases of elastofibroma dorsi were recorded as an incidental finding. A retrospective and descriptive analysis was performed on this study series. RESULTS The study showed a prevalence of 1.66%. Out of the 29 findings, 22 (75.86%) were females and 7 (24.14%) males. Seventeen (58.62%) cases were bilateral, 12 (41.38%) unilateral and the SUVmax ranged from 1.4 to 3.2. These lesions were reported as soft tissue density images with mild or moderate diffuse metabolic activity. CONCLUSION The elastofibroma dorsi is a relatively common finding in PET/CT that should be known in order to avoid making wrong diagnoses.
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Affiliation(s)
- Y Blumenkrantz
- Fundación Centro de Diagnóstico Nuclear, Buenos Aires, Argentina
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22
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Ben Hassouna J, Hamdi N, Ben Bachouche W, Bouzid T, Dhiab T, Rahal K. Elastofibroma dorsi. Orthop Traumatol Surg Res 2010; 96:717-20. [PMID: 20708994 DOI: 10.1016/j.otsr.2010.03.019] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/19/2009] [Revised: 02/16/2010] [Accepted: 03/29/2010] [Indexed: 02/02/2023]
Abstract
Elastofibromas are rare benign soft tissue tumours that are usually located between the scapula and the rib cage deep in the serratus anterior muscle. Their anatomical location, distinctive clinical symptoms and radiological characteristics set them apart from malignant soft tissue tumours. Although they are rare, it is necessary to be aware of this benign tumour to avoid unnecessary biopsies; surgical resection may, however, be recommended to obtain a differential diagnosis from malignant sarcomas. We report three cases of elastofibroma dorsi in a 48-year-old man, a 33-year-old woman and a 42-year-old man.
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Affiliation(s)
- J Ben Hassouna
- Oncologic Surgery Department, Salah Azaïz Institute, boulevard 9-Avril, 1006 Tunis, Tunisia
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23
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Nonaka CFW, Rêgo DM, Miguel MCDC, De Souza LB, Pinto LP. Elastofibromatous change of the oral mucosa: case report and literature review. J Cutan Pathol 2010; 37:1067-71. [DOI: 10.1111/j.1600-0560.2010.01576.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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24
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Atypical appearance of a neural foraminal elastofibroma of the lumbar spine mimicking a schwannoma on computed tomography and magnetic resonance imaging. Jpn J Radiol 2010; 28:314-7. [PMID: 20512551 DOI: 10.1007/s11604-010-0419-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2009] [Accepted: 01/13/2010] [Indexed: 10/19/2022]
Abstract
Elastofibromas are rare benign lesions that are most commonly found in the periscapular region. We describe a rare case of a 40-year-old woman presenting with right buttock radiating pain. Computed tomography and magnetic resonance imaging revealed a homogeneously enhanced mass occupying the right neural foramen at the L4/5 level. The clinical and radiological presentation suggested a schwannoma. Pathology examination of the tissue indicated elastofibroma.
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25
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Abstract
PURPOSE Elastofibroma dorsi (ED) is a rare, benign soft tissue tumor arising from connective tissue and usually found in the subscapular region. We conducted this retrospective study to contribute to a better understanding of this tumor, the pathogenesis of which is still unclear. METHODS We reviewed the medical records of eight patients treated for ED at our institution between 2003 and 2008. RESULTS All patients were right-handed and all except one were female. The tumor was located on the right in two patients, on the left in one, and bilaterally in five. All patients underwent complete marginal resections. The resected tumors ranged in size from 5 cm to 12 cm. The only postoperative complication was seroma, observed in two patients. No recurrences have been observed in follow-up ranging from 15 days to 5 years. CONCLUSIONS We could not establish a relationship between the side of the dominant hand and the tumor location. If this tumor becomes symptomatic, local excision is the best treatment; however, as malignant transformation has not been reported, follow-up is recommended for asymptomatic lesions.
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26
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Kourda J, Ayadi-Kaddour A, Merai S, Hantous S, Miled KB, Mezni FE. Bilateral elastofibroma dorsi. A case report and review of the literature. Orthop Traumatol Surg Res 2009; 95:383-7. [PMID: 19628444 DOI: 10.1016/j.otsr.2009.05.002] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/28/2008] [Revised: 12/27/2008] [Accepted: 05/18/2009] [Indexed: 02/02/2023]
Abstract
Elastofibroma is a rare benign soft tissue lesion, typically located deep under the lower pole of the scapula. It is characterized by a fibrous and adipose tissue proliferation and most frequently affects older females. Its characteristic location and its specific aspect in imaging studies most often provides the diagnosis following an incidental discovery. Nevertheless, anatomic and pathologic confirmation is necessary to formally rule out a malignant tumor diagnosis. We report a 66-year-old woman original observation; this lady's occupation involved a number of strenuous manual activities; she consulted for chronic pain related to a left subscapular mass. MRI demonstrated, in fact, two symmetrical tumor masses under each scapula. The only symptomatic lesion was surgically excised.
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Affiliation(s)
- J Kourda
- Pathology Department, Abderrahman-Mami Hospital, Ariana, 2080 Tunis, Tunisia.
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27
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Yáñez S, Val-Bernal J, Echevarría M, Landeras R, Izquierdo J, Gallardo E. Elastofibroma dorsi: estudio retrospectivo de seis casos. ACTAS DERMO-SIFILIOGRAFICAS 2008. [DOI: 10.1016/s0001-7310(08)74761-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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28
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Ozpolat B, Yazkan R, Yilmazer D, Koçak N, Yücel E. Elastofibroma dorsi: report of a case with diagnostic features. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2008; 27:287-291. [PMID: 18204021 DOI: 10.7863/jum.2008.27.2.287] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Affiliation(s)
- Berkant Ozpolat
- Department of Cardiovascular Surgery, Dişkapi Yildirim Beyazit Education and Research Hospital, Ankara, Turkey.
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29
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Yáñez S, Val-Bernal J, Echevarría M, Landeras R, Izquierdo J, Gallardo E. Retrospective Analysis of 6 Cases of Elastofibroma Dorsi. ACTAS DERMO-SIFILIOGRAFICAS 2008. [DOI: 10.1016/s1578-2190(08)70332-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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30
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Mortman KD, Hochheiser GM, Giblin EM, Manon-Matos Y, Frankel KM. Elastofibroma Dorsi: Clinicopathologic Review of 6 Cases. Ann Thorac Surg 2007; 83:1894-7. [PMID: 17462431 DOI: 10.1016/j.athoracsur.2006.11.050] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/19/2006] [Revised: 11/15/2006] [Accepted: 11/16/2006] [Indexed: 11/26/2022]
Abstract
Elastofibroma dorsi is a rare, benign lesion arising from connective tissue and usually found at the angle of the scapula. Surgical resection is often indicated in the presence of an enlarging mass or when malignancy can not be excluded. Herein we report our most recent case of elastofibroma dorsi and our review of 6 cases from the past 16 years.
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Affiliation(s)
- Keith D Mortman
- Division of Thoracic Surgery, Baystate Medical Center, Springfield, Massachusetts, USA.
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31
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Daigeler A, Vogt PM, Busch K, Pennekamp W, Weyhe D, Lehnhardt M, Steinstraesser L, Steinau HU, Kuhnen C. Elastofibroma dorsi--differential diagnosis in chest wall tumours. World J Surg Oncol 2007; 5:15. [PMID: 17280612 PMCID: PMC1797045 DOI: 10.1186/1477-7819-5-15] [Citation(s) in RCA: 50] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2006] [Accepted: 02/05/2007] [Indexed: 11/17/2022] Open
Abstract
Background Elastofibromas are benign soft tissue tumours mostly of 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 pathogenesis of the lesion is still unclear, but repetitive microtrauma by friction between the scapula and the thoracic wall may cause the reactive hyperproliferation of fibroelastic tissue. Methods We present a series of seven cases with elastofibroma dorsi with reference to clinical findings, further clinical course and functional results after resection, as well as recurrence. Data were obtained retrospectively by clinical examination, phone calls to the patients' general practitioners and charts review. Follow-up time ranged from four months to nine years and averaged 53 months. Results The patients presented with swelling of the infrascapular region or snapping scapula. In three cases, the lesion was painful. The ratio men/women was 2/5 with a mean age of 64 years. The tumor sizes ranged from 3 to 13 cm. The typical macroscopic aspect was characterized as poorly defined fibroelastic soft tissue lesion with a white and yellow cut surface caused by intermingled remnants of fatty tissue. Microscopically, the lesions consisted of broad collagenous strands and densely packed enlarged and fragmented elastic fibres with mostly round shapes. In all patients but one, postoperative seroma (which had to be punctuated) occurred after resection; however, at follow-up time, no patient reported any decrease of function or sensation at the shoulder or the arm of the operated side. None of the patients experienced a relapse. Conclusion In differential diagnosis of soft tissue tumors located at this specific site, elastofibroma should be considered as likely diagnosis. Due to its benign behaviour, the tumor should be resected only in symptomatic patients.
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Affiliation(s)
- Adrien Daigeler
- Department of Plastic Surgery, Burn Center, Hand Center, Sarcoma Reference Center, BG-Hospital "Bergmannsheil", Ruhr-University Bochum, Bürkle-de-la-Camp-Platz 1, 44789 Bochum, Germany
| | - Peter Maria Vogt
- Department of Plastic, Hand, and Reconstructive Surgery, Burn Center, Hannover Medical School, Podbielskistr. 380, 30659 Hannover, Germany
| | - Kay Busch
- Department of Plastic, Hand, and Reconstructive Surgery, Burn Center, Hannover Medical School, Podbielskistr. 380, 30659 Hannover, Germany
| | - Werner Pennekamp
- Institute of Diagnostic Radiology, Interventional Radiology and Nuclear Medicine, BG-Hospital "Bergmannsheil", Ruhr-University Bochum, Bürkle-de-la-Camp-Platz 1, 44789 Bochum, Germany
| | - Dirk Weyhe
- Department of Surgery, St. Josef Hospital – University Medical Center, Ruhr University of Bochum, Gudrunstr. 56, 44791Bochum, Germany
| | - Marcus Lehnhardt
- Department of Plastic Surgery, Burn Center, Hand Center, Sarcoma Reference Center, BG-Hospital "Bergmannsheil", Ruhr-University Bochum, Bürkle-de-la-Camp-Platz 1, 44789 Bochum, Germany
| | - Lars Steinstraesser
- Department of Plastic Surgery, Burn Center, Hand Center, Sarcoma Reference Center, BG-Hospital "Bergmannsheil", Ruhr-University Bochum, Bürkle-de-la-Camp-Platz 1, 44789 Bochum, Germany
| | - Hans-Ulrich Steinau
- Department of Plastic Surgery, Burn Center, Hand Center, Sarcoma Reference Center, BG-Hospital "Bergmannsheil", Ruhr-University Bochum, Bürkle-de-la-Camp-Platz 1, 44789 Bochum, Germany
| | - Cornelius Kuhnen
- Pathology, BG-Hospital "Bergmannsheil", Ruhr-University Bochum, Bürkle-de-la-Camp-Platz 1, 44789 Bochum, Carl-Neuberg-Str. 1, 39625 Hannover, Germany
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Abstract
Elastofibromas (EFD) are rare benign soft tissue tumors that are almost always located at the inferior pole of the scapula, deep to the serratus anterior muscle. They are more frequent in elderly women. Their anatomical location and a distinctive clinical symptom distinguish them from malignant soft tissue tumours. They can usually be diagnosed on the basis of their imaging characteristics. Despite their low incidence, these lesions should be kept in mind to differentiate them from malignant tumours and to avoid unnecessary biopsies and wide or radical surgery. We present the case of a 55-year-old woman who complained of chronic pain related to a right infrascapular mass. She was diagnosed by magnetic resonance imaging (MRI) of bilateral subescapular tumor masses both compatible with elastofibroma. She underwent resection of the symptomatic right lesion through an amyotomical approach.
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33
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Alouini R, Allani M, Harzallah L, Bahri M, Kraiem C, Tlili-Graies K. [Elastofibroma: imaging features]. ACTA ACUST UNITED AC 2006; 86:1712-5. [PMID: 16269985 DOI: 10.1016/s0221-0363(05)81513-6] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Elastofibroma dorsi is a rare benign and slow growing fibro-proliferative lesion of unknown pathogenesis. It has a characteristic location (periscapular region) and a specific imaging appearance (songraphy, CT, MRI) allowing accurate prospective diagnosis. The recognition of this benign lesion avoids unnecessary biopsy and/or surgery. We report three cases of elastofibroma dorsi illustrating the characteristic features on sonography, CT and MRI. Involvement was bilateral in two cases.
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Affiliation(s)
- R Alouini
- Service de Radio-diagnostic, Hôpital Iben Jazzar, Kairouan, Tunisie 3100.
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34
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Elastofibroma dorsi. Una entidad benigna de diagnóstico clínico y de imágenes. Semergen 2005. [DOI: 10.1016/s1138-3593(05)72900-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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35
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Cerrolaza N, Alcalá-Santaella R, Ausina S, Bataller J. Elastofibroma dorsi y tumoraciones infraescapulares. Rev Esp Cir Ortop Traumatol (Engl Ed) 2005. [DOI: 10.1016/s1888-4415(05)76312-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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36
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Domanski HA, Carlén B, Sloth M, Rydholm A. Elastofibroma dorsi has distinct cytomorphologic features, making diagnostic surgical biopsy unnecessary: Cytomorphologic study with clinical, radiologic, and electron microscopic correlations. Diagn Cytopathol 2003; 29:327-33. [PMID: 14648789 DOI: 10.1002/dc.10381] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Elastofibroma dorsi (EFD) is a relatively rare soft tissue mass, probably of reactive nature. The lesion is typically located near the inferior margin of the scapula or between the inferior part of scapula and the chest wall in elderly women. Although location of the tumor together with the age/sex of the patients and radiologic findings is often suggestive of the diagnosis, tissue examination has been considered necessary to confirm the diagnosis. Although the histologic features of EFD are well known, there are only four single case reports of the cytologic findings in the English language literature. We describe the cytologic features of EFD in five patients with correlations to clinical, radiologic, histologic, and electron microscopic findings. The current study suggests that the fine-needle aspiration (FNA) features are highly diagnostic, permitting a firm diagnosis of EFD in a typical clinical setting and eliminating the need for preoperative histologic examination.
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Affiliation(s)
- Henryk A Domanski
- Department of Pathology and Cytology, Lund University Hospital, Lund, Sweden.
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37
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García Franco C, Jiménez Hiscock L, Zapatero Gaviria J. Elastofibroma bilateral de la pared torácica. Cir Esp 2003. [DOI: 10.1016/s0009-739x(03)72151-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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38
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Abstract
Elastofibroma dorsi was diagnosed in a 48-year-old woman with bilateral subscapular tumor masses diagnosed asynchronously in an interval of 4 months in spite of presence of another lesion at first admittance. She underwent subsequent resections of the lesions. They were diagnosed as elastofibroma. Reevaluation of the initial computerized tomography of thorax indicated an omitted small lesion with a 2-cm diameter and 25.2-day doubling time. Although the real neoplastic nature of elastofibroma is unknown, bilateral presence of the masses with different sizes and relatively short doubling times of the lesions must be kept in mind.
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Affiliation(s)
- Akif Turna
- Yedikule Hospital for Chest Disease and Thoracic Surgery, Zeytinburnu, Istanbul, Turkey.
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