Bilateral Elastofibroma Dorsi Research Articles

Bilateral elastofibroma dorsi: A case report and mini‑review of the literature

Bilateral elastofibroma dorsi: A case report and mini‑review of the literature

Marjinal rezeksiyon sonrası gelişen tek merkezli 31 elastofibroma dorsi vakalarında komplikasyonları etkileyen faktörler

Aim: Elastofibroma dorsi (ED) is an uncommon benign connective-tissue tumor, usually seen in the subscapular region of women after the fifth decade. We present the clinical features, management, and long-term outcomes of cases of ED treated surgically in a single institution.
 Material and Method: The data of 31 patients (7 male, 24 female) with a histopathological diagnosis of ED between January 2010 and January 2021 and mean age of 56.6 years were reviewed retrospectively from their records. The mean follow-up duration was 80.2 (19-144) months. Nine cases were bilateral. Marginal resection surgery was performed in all cases diagnosed radiologically and clinically, and preoperative biopsies were performed for three patients. The results were evaluated using a visual analogue scale (VAS) for pain during follow-up.
 Results: Complications such as chronic pain (n=5), hematoma (n=5), seroma (n=5), and infection (n=2) were seen in 11 patients (35%) in the early postoperative period and improved over the course of follow-up. A local recurrence observed in one patient during follow-up was re-excised. Significantly more complications were observed in patients with bilateral ED (p=0.015), manual laborers and heavy laborers (p=0.013), patients with comorbidities (p=0.006), those who slept in the supine position (p=0.031), and those who underwent synchronized surgery (p=0.013). In addition, statistically significantly more complications were observed in cases of masses with longer longitudinal length (p=0.016), patients with longer preoperative symptom duration (p=0.009), and longer operative times (p=0.025). The average VAS score improved significantly from 4.97 to 1.52 after surgery (p

Multifocal concomitant scapulothoracic and subgluteal-ischiofemoral elastofibromas

PurposeTo evaluate the frequency, imaging findings, and patient demographics of synchronous elastofibroma dorsi (ED) and pelvic elastofibromas. MethodsImage archives between 2011 and 2021 were retrospectively searched for CT and MRI reports including the keyword “elastofibroma”. Patients with concomitant CT and/or MRI of the chest and pelvic regions were included. The greatest thickness and side of ED were noted. Subsequently, pelvic soft tissues were evaluated for a soft tissue mass with similar radiological features to ED. When detected, its location, greatest transverse diameter, and ischiofemoral space widths were noted. Wilcoxon matched-pairs signed-rank and Mann-Whitney U-tests were performed when appropriate. Pearson’s correlations were used to assess the association of presence of subgluteal-ischiofemoral elastofibromas (SGIFE) and ED thickness. The model discrimination of ED thickness was evaluated by calculating the AUC of the ROC. ResultsEighty-eight patients (Male:Female = 8:80) with a mean age of 70.6 (±10.3) years were included. 96.6 % of patients had bilateral ED. 18.2 % of patients (all females) had at least one concomitant SGIFE. Patients with SGIFE had significantly thicker ED (p < 0.001 right; p = 0.049 left). There was a significant positive correlation between the thickness of ED and presence of SGIFE (r = 0.43, p < 0.001 right; r = 0.25, p = 0.019 left). An AUC of 0.781 (p < 0.001, 95 %-CI:0.675–0.887) and 0.659 (p = 0.049, 95 %-CI:0.523–0.794) were revealed regarding the presence of ipsilateral right and left SGIFE, respectively. ConclusionConcomitant SGIFE may accompany ED in up to 18.2% of cases, particularly in women with thick ED. Knowledge of this co-occurrence and the described SGIFE characteristics can facilitate correct diagnosis.

Management and Outcome of Bilateral Elastofibroma Dorsi: 3 Cases Report and Review of Literature

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.

Bilateral Elastofibroma Dorsi as Differential Diagnosis in Posterior Chest Wall Tumor: A Case Report

Elastofibroma dorsi (ED) is a relatively common, albeit rarely diagnosed, benign soft tissue tumor, often with a sub- or infrascapular localization. ED is most common in females >50 years of age, and is unilateral in 67-90% of cases [1]. The pathogenesis is unclear, but it is hypothesized that repeated microtrauma stemming from friction between the scapula and the posterior thoracic wall induces an abnormal proliferation of fibroelastic tissue. Studies have also shown considerable heritability [2]. The condition is often asymptomatic, but can result in pain and decrease in upper extremity function. The diagnosis is made from MRI or pathology examination of a biopsy or tissue post excision. The present paper discusses a case of bilateral ED in a 76 year old female with a history of several years of manual labor as a hairdresser.

Bilateral elastofibroma dorsi - rehabilitation of an uncommon tumor

Elastofibroma are rare, slow-growing, soft tissue benign tumors that originate from mesenchymal tissue. We report an 85-year-old male patient with the diagnosis of bilateral elastofibroma dorsi whose symptoms were bilateral chronic pain in the thoracic spine and limitation of shoulder range of motion. The proposed treatment consisted of a rehabilitation program in our department mainly focused on pain management and postural reeducation of the scapulohumeral rhythm, with great improvements namely on the anterior extension and abduction of the shoulder and with no pain at the 6-month post-treatment reevaluation. This shows an important role of Physical Medicine and Rehabilitation in the management of patients with these rare tumors.

Elastofibroma Dorsi: A Rare Soft Tissue Tumor Detected Incidentally on Autopsy

Elastoubroma dorsi is an uncommon benign soft tissue tumor usually located in the infra-scapular region, deep to serratus anterior muscle, and often attached to the periosteum of the ribs, presenting with long history of swelling and occasionally pain and discomfort. It is seen in elderly age group and may be mistaken for a malignant soft tissue tumor due to its size and location. 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. Diagnosis is straight-forward when the lesion is present in characterstic anatomic location and pathognomonic histopathological features are seen. We describe a case of bilateral elastofibroma dorsi detected incidentally on autopsy.

Élastofibrome dorsal bilatéral

Elastofibroma dorsi (EFD) is a rare form of benign soft-tissue tumour that is almost always located at the lower pole of the scapula, deep to the serratus anterior muscle. There are few reports in the dermatological literature since it rarely develops in skin or subcutaneous tissue. We present the case of a 59-year-old man with bilateral elastofibroma dorsi. Physical examination showed two bilateral scapular masses, better visualized in abduction or antepulsion. They were firm, painless, mobile, covered by normal skin, and measured 40/35 mm on the right and 50/55 mm on the left. Ultrasound of soft tissue and a chest CT scan showed two heterogeneous masses (tissue and fat) within the serratus anterior muscle measuring 30/15 mm on the right and 60/19 mm on the left. Histopathological study of a deep biopsy done on the right helped to confirm the diagnosis of EFD. Tumour resection was done on the right. Elastofibroma dorsi is an uncommon, benign, non-encapsulated pseudo-tumour occurring in connective tissue of the infrascapular region of elderly patients. Another mass must be sought in all cases in the corresponding contralateral site since this form of tumour is often bilateral. EFD must be considered in the differential diagnosis of shoulder masses in elderly patients.

Bilateral Elastofibroma Dorsi

Elastofibroma dorsi is a slow-growing, noncapsulated, benign, solid, and soft tissue tumor. It is usually located in the infrascapular region, between the thorax wall and serratus anterior and latissimus dorsi. Although elastofibroma dorsi is usually unilateral, it is also bilateral in 10% of the cases. The pathogenesis of the lesion still remains unclear. Elastofibroma dorsi should be considered in differential diagnosis of soft tissue tumors due to their specific location. As it exhibits benign behavior, it should be surgically removed only in symptomatic patients. A case bilateral elastofibroma dorsi is described and presented.

Bilateral Elastofibroma Dorsi Olgusunun 64 Dedektörlü Bilgisayarlı Tomografi Bulguları ve Literatürün Gözden Geçirilmesi

Bilateral Elastofibroma Dorsi Olgusunun 64 Dedektörlü Bilgisayarlı Tomografi Bulguları ve Literatürün Gözden Geçirilmesi

Elastofibroma dorsi: A soft tissue masquerade

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%.

MR imaging findings of elastofibroma dorsi in correlation with pathological features: our experience

This paper describes the role of magnetic resonance (MR) imaging for characterising elastofibroma dorsi in correlation with pathological findings. Over a period of 9 years, 1,233 MR examinations of the periscapular region assessed for the presence of elastofibroma dorsi with superconductive 1.5-T MR scanners at three different radiology institutes were retrospectively reviewed. Our study population included 15 patients (12 women, three men; mean age 58 years, range 28-82 years) presenting with 17 lesions. Two patients had bilateral elastofibroma dorsi. Thirteen of 15 patients underwent MR examination for clinical suspicion of a lesion located in the periscapular region, whereas in 2/15 cases it was an incidental finding during MR examination performed for other diseases. Diagnosis of elastofibroma dorsi was confirmed by histopathology in 11/17 cases. The remaining lesions were considered benign, as their size and morphology did not change over a mean follow-up period of 1.5 years. MR imaging with its multiplanar capabilities and high-contrast resolution has a high level of accuracy in characterising elastofibroma dorsi and may avoid the need for biopsy or surgical operation.

Bilateral elastofibroma dorsi. A case report and review of the literature

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.

견갑부에 발생한 양측성 배부 탄성섬유종 - 증례 보고 -

We report a case of an 86-year-old man diagnosed with bilateral elastofibroma dorsi who was managed conservatively after a two year follow-up. An elastofibroma dorsi is a benign, slow-growing tumor that is most often located in the inferior periscapular area in elderly patients. It should be considered to differentiate them from other soft tissue tumors located at the inferior periscapular region. Increased awareness of these characteristics will decrease the incidence of a misdiagnosis of elastofibroma dorsi as a malignancy and avoid unnecessary surgery.

Elastofibroma dorsi: Typical radiological features

Elastofibroma dorsi is a rare benign and slow-growing fibro-proliferative lesion. It has a characteristic location (periscapular region) and a specific imaging appearance (sonography, CT, MRI) allowing accurate prospective diagnosis. The recognition of this benign lesion avoids unnecessary biopsy and/or surgery. We report two cases of bilateral elastofibroma dorsi illustrating characteristic imaging features on ultrasound, CT and MRI.

Bilateral elastofibroma dorsi: Role of MR imaging in diagnosis

Elastofibroma dorsi is slow growing, solid but ill defined, uncommon soft tissue lesion that appears in elderly individuals as a mass in the chest soft tissues, most commonly found in the periscapular region. The tumor is typically unilateral, although bilateral involvement has been reported. It is a benign chest wall lesion that is not well known to radiologists. This diagnosis is often missed prospectively. To our knowledge, there is a limited number of papers of CT and MRI findings of elastofibroma dorsi in the literature. If the radiologist is aware of this uncommon benign fibrous pseudotumor, radical or unnecessary surgery may possibly be prevent. CT and MRI appearances in a 56-year-old woman with bilateral elastofibroma dorsi are presented to alert physicians to this entity in this paper.

F-18 FDG Uptake Associated With Elastofibroma Dorsi

A patient with a history of colon carcinoma and computed tomography (CT) evidence suggestive of a liver metastasis underwent an F-18 FDG PET scan. The PET scan confirmed a metastasis in the left lobe of the liver. The study also demonstrated bilateral symmetric uptake involving the inferior subscapular regions. Correlation with the previous CT showed this to correspond to bilateral elastofibroma dorsi, which had been prospectively reported on the CT. Elastofibroma dorsi is a rare benign mass consisting of fibroelastic tissue and fat. It has been previously described on PET, CT, ultrasound, and magnetic resonance imaging (MRI). On CT, the masses are of soft tissue density, similar to adjacent musculature, and may contain linear areas of low density secondary to fat. On MRI, elastofibroma dorsi has been shown to have variable enhancement, which may reflect increased vascularity of the lesion. In this case, the masses demonstrated low-grade diffuse F-18 FDG uptake.