Two cases of elastofibroma dorsi are reported and the light and electron microscopic features analysed. Elastofibroma dorsi ed is a relatively rare softtissue pseudotumor localized in the infra or periscapular area under the rhomboid and serratus anterior muscles. Briefly, marginal excision is the treatment of choice in symptomatic patients, while followup appears to be a good solution in asymptomatic ones. The differential diagnosis includes frequently observed subcutaneous neoplasms such as lipoma, fibrolipoma or more aggressive tumors. Genetic predisposition was reported with 32% of the 170 patients having a family history of elastofibroma.
Elastofibroma, is an illdefined fibroelastic tumorlike condition made up of enlarged and irregular elastic fibers signs and symptoms. Pdf elastofibroma dorsi ed is a tumor that develops in the space between the lower angle of the scapula and the posterior thoracic wall. Cd 34, mef2, prominin 2 cd3, and factor xiiiapositive proliferating fibroblastic stromal cells connected by cx43type gap junctions. Jan 12, 2018 i love seeing those amazing bunched up elastic fibers in elastofibroma dorsi. The morphology and clinical behaviour indicate that elastofibroma dorsi is a reactive fibromatosis rather than a true neoplasm. Elastofibroma definition of elastofibroma by medical dictionary. First described in 1959 by jarvi and saxen, ed can cause apprehension due to its embedded location and large size frequently greater than 5 centimeters. Radiologic findings of bilateral elastofibroma dorsi. An unenhanced computed tomography ct scan showed a softtissue mass attached to the scapula, causing muscular displacement. Elastofibroma dorsi report of a case with diagnostic features. However, these tumors are now known to be much more commonplace in the elderly population than was previously thought. Elastofibromas have characteristic imaging findings on mri and ct.
Reactive hyperplasia involving abnormal elastogenesis. Oct 27, 2010 the purpose of this study was to assess retrospectively the characteristics of fdg uptake in elastofibroma dorsi using integrated petct. To date, few cases have been reported in the dermatology literature. Feb 11, 2014 elastofibroma dorsi ed is a tumor that develops in the space between the lower angle of the scapula and the posterior thoracic wall. Nov 01, 2006 elastofibroma dorsi is a benign softtissue tumor with a characteristic location and appearance at ct. Elastofibroma dorsi is a rare, benign lesion arising from. M f naylor, a g nascimento, a d sherrick, r a mcleod american journal of roentgenology. Figure 2 from imaging patterns in elastofibroma dorsi. Elastofibroma dorsi ed is a rare benign connective tissue tumor that is typically found on the inferior pole of the scapula. Elastofibroma dorsi is a benign softtissue tumor with a characteristic location the subscapular region and imaging appearance they are relatively common lesions. On this basis, we suggest an algorithm for the diagnosis and treatment of elastofibroma. In 15 cases of bilateral ed sequential surgery was proposed, in order to allow free activity of the nonoperated shoulder.
It is usually unilateral, and bilateral involvement occurs in only 10% of patients. Jarvi and saxen first described this rare entity, elastofibroma, in 1961. Are there natural treatments that may improve the quality of life of people with elastofibroma dorsi. Printable elastofibroma dorsi surgical pathology criteria.
Elastofibroma dorsi ed is a benign connective tissue tumor that most commonly occurs on the inferior pole of the scapula. Bilateral elastofibroma dorsi the annals of thoracic surgery. It is important to differentiate this lesion from other softtissue lesions. The lesion typically occurs in the elderly, and in 85% of cases arises from the connective. Here we report a case of a 51yearold man with bilateral elastofibroma dorsi. All the larger series of elastofibroma reported in the literature showed elastofibroma was commoner in females. It is more frequently seen in older women, with a reported female predilection of 5. Elastofibroma dorsi differential diagnosis in chest wall.
Though many patients are asymptomatic, ed can cause local deformity and symptoms such as periscapular pain or discomfort. Elastofibroma dorsi ed is a tumor that develops in the space between the lower angle of the scapula and the posterior thoracic wall. A similar, smaller mass was found on the left side. From 10,261 oncology fdgpetct scans performed over a 2year period, findings suggestive of elastofiboma dorsi were observed in 46 fdgpetct scans of 34 patients. Elastofibroma is characterized by accumulated abnormal elastic fibers and is generally regarded as a reactive process, an unusual. Patient will present with a slow growing, deepseated, firm mass, often presenting bilaterally.
For imaging findings in elastofibroma, check out this nice page on. Elastofibroma is a rare, benign, slowgrowing connectivetissue tumor that occurs most often in the subscapular area in elderly women. Full text get a printable copy pdf file of the complete article 3. Jarvi and saxen 1 first described this rare entity, elastofibroma, in 1961. Unusual presentation of elastofibroma dorsi on 18ffdgpet. Elastofibroma dorsi is a benign softtissue tumor with a characteristic location and imaging appearance. Elastofibroma dorsi is a rare, slowgrowing, illdefined soft tissue tumor of the chest wall, most commonly located beneath the rhomboid major and latissimus dorsi muscles. It is most prevalent in japan, elderly females, patients with a history of manual labor involving. The use of magnetic resonance imaging can lead to a presumptive diagnosis in elderly individuals with suprascapular lesions. Material and methods we followed 43 patients with elastofibroma dorsi with a confirmed histological diagnosis or on the basis of typical imaging pattern ultrasound, ct, mr confirmed by evolution. We report a case of elastofibroma in a patient who presented with shoulder pain to a. Although elastofibroma dorsi is usually unilateral, it is also bilateral in 10% of the cases. What are the best treatments for elastofibroma dorsi. The appearance of the masses on ct scans was suggestive of infiltrating malignancy, but pathologic examination disclosed findings typical of elastofibroma.
This page was last edited on 28 october 2018, at 15. In 50% of the cases, the tumor remains asymptomatic or causes mild discomfort only, explaining the long periods of up to 67 years between the onset of the symptoms and treatment 14, 24, 25. May 23, 2018 computed tomography ct scan of an elastofibroma dorsi in a well 50yearold on both sides under the serratus anterior, left more voluminous than on the right. Surgical resection is often indicated in the presence of an enlarging mass or when malignancy can not be excluded. Further, it is a degenerative pseudotumor with the clinical appearance. Elastofibroma usually presents on the back usually in the subscapular region as a poorly defined mass or pseudotumour. Elastofibroma is an actual reactive process that presents itself as a tumor. Mild and moderate uptake of fdg is frequently observed in elastofibroma dorsi, which should not be misinterpreted as. Elastofibroma dorsi is a rare, benign lesion arising from connective tissue and usually found at the angle of the scapula. The purpose of this report is to present a case of bilaterally occurring elastofibromas that caused periscapular pain in a 61. Onethird of patients have a family history of this diagnosis. Herein we report a case of a 65yearold woman with painful ed.
Treatment is only recommended in symptomatic cases and biopsy is usually unnecessary. It was first described in 1961 by jarvi and saxen, 1 and was initially considered rare. Elastofibroma dorsi as differential diagnosis in tumors of the. It usually occurs between the fourth and seventh decade of life, and is more common in females. All structured data from the file and property namespaces is available under the creative commons cc0 license. The who soft tissue tumor classification 2002, defined elastofibroma as a benign fibroblastmyofibroblast tumor. Elastofibroma dorsi is a rare, benign, soft tumor located at the inferior pole of the scapula. We experienced a case of bilateral elastofibroma dorsi in. Elastofibroma dorsi is a slowgrowing, noncapsulated, benign, solid, and soft tissue tumor. Benign, poorly circumscribed pseudotumor of subscapular region, composed of collagen and coarse enlarged elastic fibers. Is there any natural treatment for elastofibroma dorsi. Elastofibroma dorsi ed is an uncommon, slowgrowing, benign, soft tissue tumor of unclear pathogenesis, typically located at the subscapular region of elderly people. Chest magnetic resonance image showing bilateral solid, unen capsuled masses with a heterogenous composition of fibrous and adi pose tissues.
The estimated mean age at diagnosis is around 6570 years. Apr 01, 2015 10 most amazing epoxy resin and wood river table designs. Since, less than 400 cases were reported in the literature 68. Elastofibroma definition of elastofibroma by medical. Elastofibromas were first described in 1959 by jarvi and saxen at the 12 th congress of scandinavian pathologists who subsequently published their work in 1961. It usually occurs between the fourth and the seventh decade of life and is more common in females 2,3. An ultrastructural and immunohistochemical study of elastofibroma. It is fibrous in nature and almost exclusively affects the soft tissues around the scapula. The pathogenesis of the lesion still remains unclear. The fibres differ from the elastin of arterial wall, elastotic degeneration of skin, and pseudoxanthoma elasticum.
We report herein a case of a 56yearold woman with bilateral elastofibroma dorsi. Elastofibroma is a rare condition whose exact incidence is unknown. The full text of this article is available in pdf format. Computed tomography ct scan of an elastofibroma dorsi in a well 50yearold on both sides under the serratus anterior, left more voluminous than on the right.
Using computerized tomography, an incidence of 2% has been reported in the elderly, but it is found in autopsies, with lesions 3 cm in diameter or smaller, in 11. Elastofibroma dorsi is a rare, slowgrowing, ill defined soft tissue tumor thats typically found between the inferior scapula and chest wall. Elastofibroma dorsi is a benign softtissue tumor with a characteristic location and appearance at ct. Elastofibroma dorsi is a rare, slowgrowing, pseudotumoral lesion of the soft tissues of the chest wall with a peculiar radiographic and histologic pattern.
Elastofibroma dorsi efd is an uncommon benign soft tissue tumor which most commonly occurs in the infrascapular region of elderly patients, typically arising between the rhomboid major and latissimus dorsi muscles, subjacent to the inferior angle of the scapula. Files are available under licenses specified on their description page. Fdgpetct imaging of elastofibroma dorsi springerlink. Introduction elastofibroma dorsi is a rare pseudotumor of the soft tissues.
Elastofibroma dorsi is a rare, benign, soft tissue tumor almost always located. Elastofibroma dorsi, named for its characteristic location, is a benign soft tissue tumour occurring most often in the infrascapular region of elderly women. Elastofibroma dorsi is a relatively rare softtissue tumour localized at the infrascapular level andor subscapular regions. Repetitive manual labour is thought to give rise to degeneration of elastic and fibrous tissues. Elastofibroma dorsi annals of the rheumatic diseases. Elastofibroma has not been recognized as a cause of periscapular complaints despite its characteristic scapular location. The symptoms of elastofibroma dorsi depend on the site and size of the lesion and may present as shoulder pain or snapping scapula as in our patients. Elastofibroma dorsi is a rare benign tumor of the back, located between the latissimus dorsi and the rhomboid muscle. It is usually located in the infrascapular region, between the thorax wall and serratus anterior and latissimus dorsi. Due to the rarity of this type of tumor, the number of reported consecutive series is limited. As 20 patients had bilateral lesions and 14 had unilateral lesions, a total of 75. Elastofibromas are rare, pseudotumours arising at the. We report the clinical, microscopic and ultrastructural features of an elastofibroma arising in the foot. It can be found incidentally on radiologic imaging or due to clinical symptoms.
The characteristic findings on ultrasonography, mri and ct usually allow the correct diagnosis and so prevent unnecessary surgical procedure. Briefly, marginal excision is the treatment of choice in symptomatic patients, while followup appears to be a good solution in. World map of elastofibroma dorsi find people with elastofibroma dorsi through the map. Elastofibroma dorsi eld is a rare soft tissue benign tumor of. Here you can see if there is any natural remedy andor treatment that can help people with elastofibroma dorsi. Elastofibromas display typical diagnostic histologic, cytologic, and electron microscopic features. The appearances suggest that the characteristic fibres and globules that stain as for elastin arise by denaturation of collagen. Pdf bilateral elastofibroma dorsi mehmet a bedirhan. Elastofibroma, is an illdefined fibroelastic tumorlike condition made up of enlarged and irregular elastic fibers. First described in 1961 by jarvi and saxen acta pathol microbiol scand 1961.
It has been suggested that elastofibromas fevelop as a response to repeated trauma. Elastofibroma dorsi discussion elastofibroma dorsi is a benign slow growing connective tissue pseudotumor first described by jarvi and saxen in 1961. Figure 10 from imaging patterns in elastofibroma dorsi. Elastofibroma dorsi is a benign slow growing connective tissue pseudotumor first described by jarvi and saxen in 1961.
Apr 14, 2020 elastofibroma is a rare, benign, slowgrowing connectivetissue tumor that occurs most often in the subscapular area in elderly women. A transbronchial biopsy showed squamous cell carcinoma and the cytology of the pleural effusion revealed no malignant cells. Mar 12, 2008 elastofibroma dorsi is an uncommon benign lesion. Patients may become apprehensive due to it mimicking new malignancy or recurrence of prior malignancy. Elastofibroma is a rarely diagnosed benign fibroproliferative lesion which occurs most commonly in the periscapular region of middle aged to elderly women. Bilateral elastofibroma dorsi in native computed tomography. We report a series of 8 patients 5 women, 3 men, with a mean age of 67 years range, 4480 years.
Initially, the oncologic disease was classified as stage iv because of the hypermetabolic pleural effusion. In most cases it is unilateral, but in up to 10% it occurs on both sides. Background elastofibroma dorsi is a relatively rare soft. Its clinicoradiologic characteristics lead to a correct diagnosis. Oct 06, 2017 elastofibroma dorsi is a benign soft tissue tumor, found in the infrascapular regions, deep to the serratus anterior and latissimus dorsi musculature. Elastofibroma is characterized by accumulated abnormal elastic fibers and is generally regarded as a reactive process, an unusual fibroblastic pseudotumor.
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