Elastofibroma Dorsi: Clinicopathologic Review of 6 Cases

Baystate Medical Center, Springfield, Massachusetts, United States
The Annals of thoracic surgery (Impact Factor: 3.85). 06/2007; 83(5):1894-7. DOI: 10.1016/j.athoracsur.2006.11.050
Source: PubMed


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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    • "On the other hand, the authors of the most recent articles most often consider that imaging studies, particularly MRI, suffice if the lesion is typical [7] [16] [20] [21]. The clinical follow-up of patients who have undergone surgical excision or biopsy vary, depending on the study, between 1 month and 4 years, with a mean follow-up of 9 months with no complications [13] [14] [15]. Local tumor recurrence has been reported after incomplete excision [9] [18]. "
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    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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