Abstract
Elastofibroma dorsi is a rare soft tissues benign tumor with very slow evolution, seen predominantly in females and elderly, It mostly occurs in the infrascapular region, and can be bilateral. The diagnosis is based on clinical presentation and imaging features but pathological study after excision is necessary for confirmation. We present the cases of 3 patients with bilateral elastofibroma dorsi to clarify the clinical features, radiological and therapeutic modalities to improve management, along with a literature review.
Highlights
Elastofibroma dorsi is a rare benign soft tissu tumor usually slow growing, typically located in the lower pole of the scapula, it is mostly seen in middle aged and older women
Case 3 A 52 years old man with no medical history presenting three masses in the dorsal region two subscapular and one suprascaplar (Fig. 4) The diagnosis was based on the CT scan showing a bilateral aspect of subscapular elastofibroma
Elastofibroma Dorsi is a rare soft tissue tumor that grows very slowly, first described by Jarvi in 1961 [7], [8], It is typically located in the lower pole of the scapula, beneath the rhomboid major and latissimus dorsi muscles [7]-[9], but unusual locations such as ischial tuberosity, olecranon, thoracic wall, axilla, have been described in literature
Summary
Elastofibroma dorsi is a rare benign soft tissu tumor usually slow growing, typically located in the lower pole of the scapula, it is mostly seen in middle aged and older women. Elastofibroma Dorsi can be bilateral in 10 to 66 % of cases. The diagnosis can be both clinical and image based. Magnetic resonance (MR) is most oftently used given its high sensitivity and specificity in soft tissues. The surgical indication is made based on the patient’s symptoms and the size of the tumor. The decision to operate the patient was made due to the pain caused by the masses; a drain was left in place for 5 days post operatively. The patient presented a seroma post operatively, that was treated by multiple aspirations, and compression
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