Aims and objectives
Elastofibroma dorsi (ED) is a rare benign tumor of fibroelastic tissue of the thoracic wall,
which lacks of malignant potential.
The lesion usually arises beneath the rhomboid major and latissimus dorsi muscles,
subjacent to the inferior angle of the scapula; sometimes,
it can be bilateral [1,
Although ED is regarded as an uncommon tumor,
there are reports of a prevalence of 2% in people over 60 years,
while an autopsy study found a prevalence of 24% in women and 11% in men ....
Methods and materials
We retrospectively reviewed 86 patients who underwent surgical resection of ED at different Departments of institution (Thoracic Surgery,
Plastic Surgery) between January 2000 and May 2014. 1.
DIAGNOSIS AND TREATMENT: In-house medical records and referral medical records were reviewed in order to determine patient age,
location of lesions,
imaging findings and treatment. 2. FOLLOW UP : All patients were asked to undergo follow up,
DIAGNOSIS AND TREATMENT: The average age of 86 patients was 60 years (range,
78 – 23 years),
with a female predominance [59 women and 27 men].
ED was situated in the subscapular region in 83 patients (96.6 %) and in the parascapular region in 3 patients (3.4%).
The tumor was located on the right side in 41 cases (46.5%),
on the left side in 28 cases (32.5%) and bilaterally in 17 cases (21%).
55 patients (64%) presented symptoms associated with the tumor,
including subscapular swelling,...
ED is a rare benign tumor arising from connective tissue,
usually seen in the sixth decade of life,
with a female predilection.
Diagnosis of ED is based on clinical and imaging features; treatment is surgical,
especially in symptomatic cases.
According to our study,
before surgical resection of ED the patient should be informed of the possibility of the risk of local recurrence,
even in cases of complete excision,
and of the possibility of injury to the nociceptive system in the site of...
1) Ramos R et al.Elastofibromadorsi: anuncommonandunder-diagnosedtumour.
doi: 10.1016/j.arbres.2010.09.013. 2) Muratori F et al.Elastofibroma dorsi: 8 case reports and a literature review.
J Orthop Traumatol2008;9(1):33-37.
doi: 10.1007/s10195-008-0102-7. 3) Dinauer PA et al.Pathologic and MR Imaging Features of Benign Fibrous Soft-Tissue Tumors in Adults.
Radiographics2007;27(1):173-87. 4) Karakurt O.Elastofibroma dorsi management and outcomes: review of...