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Elastofibroma Dorsi: An Uncommon Soft Tissue Tumor

Year 2016, Volume: 3 Issue: 3, 134 - 136, 15.03.2016

Abstract

Introduction: Elastofibroma dorsi is a rare clinical situation mostly encountered as a non-tender solid mass in inferior margin of scapula, typically in elder women. It is accepted as a pseudotumor.

Case Presentation: 55 year-old female patient complaining from a mass in her back, painful with shoulder movement is presented. The patient was referred with a suspicion of malignant tumor. Biopsy revealed that it was elastofibroma dorsi and also computerized tomography was used for detection of dimension and depth of the mass. After surgical removal, pathology of the specimen confirmed the biopsy. Differential diagnosis, clinical findings and pathophysiology is discussed.

Conclusions: During the follow-up seroma was realized 10 days after surgery and it was treated by 2 punctions performed in a week. No further surgical complications occured in postoperative period and no recurrence was observed during one year follow up. Surgical removal is essential in symptomatic patients. Seroma is the most encountered complication especially if the tumor diameter is large. In some cases, biopsy may help to rule out malignancy.

References

  • Ramos R, Ureña A, Macía I, Rivas F, Ríus X, Armengol J. Elastofibroma dorsi: an uncommon and under-diagnosed tumour. Arch Bronconeumol. 2011; 47(5):262-3.
  • Tsikkinis C, Balamoti S, Grigoroupoulos P et al. Elastofibroma dorsi. JBUON. 2014; 19(2): 573-6.
  • Kara M, Dikmen E, Kara SA, Atasoy P. Bilateral elastofibroma dorsi: proper positioning for an accurate diagnosis. Eur J Cardio-thoracic Surgery. 2002; 22:839-41.
  • Cota C, Solivetti F, Kovacs D, Cristiani R, Amantea A. Elastofibroma dorsi: histologic and echographic considerations. Int J Dermatol. 2006; 45:1100-03.
  • Schafmayer C, Kahlke V, Leuschner I, Pai M, Tepel J. Elastofibroma dorsi as differential diagnosis in tumors of thoracic wall. Ann Thoracic Surgery. 2006; 82:1501-04.
  • Briccoli A, Casadei R, DiRenzo M, Favale L, Bacchini P, Bertoni F. Elastofibroma dorsi. Surgery Today. 2000; 30(2):147-52.
  • Brown GW. Elastofibroma dorsi: report of two cases and literature review. Wis Med J. 1991; 90(6):281-4.
  • Greenberg JA, Lockwood RC. Elastofibroma dorsi: a case report and review of the literature. Orthop Rev. 1989; 18(3):329-33.
  • Dixon AY, Lee SH. An ultrastructural study of elastofibromas. Hum Pathol. 1980; 11(3): 257-62.
  • Schick S, Zembsch A, Gahleitner A, et al. Atypical appearance of elastofibroma dorsi on MRI: case reports and review of the literature. J Comput Assist Tomogr. 2000; 24(2):288-92.
  • Fukuda Y, Miyake H, Masuda Y, Masugi Y. Histogenesis of unique elastinophilic fibers of elastofibroma: ultrastructural and immunohistochemical studies. Hum Pathol. 1987; 18(5): 424-9.
  • Kumaratilake JS, Krishnan R, Lomax-Smith J, Clearly EG. Elastofibroma: disturbed elastic fibrillogenesis by periosteal-derived cells? An immunuelectronmicroscopic and in situ hybridization study. Hum Pathol. 1991; 22:1017-29.
  • McComb EN, Feely MG, Neff JR, Johansson SL, Nelson M, Bridge JA. Cytogenetic instability, predomi¬nantly involving chromosome 1, is characteristic of elasto¬fibroma. Cancer Genet Cytogenet. 2001; 126:68-72.
  • Kourda J, Ayadi-Kaddour A, Meria S, Hantous S, Miled KB, Mezni FE. Bilateral elastofibroma dorsi. A case report and review of the literature. Orthop Traumatol Surg Res. 2009; 95:383–7.
  • Karakurt O, Kaplan T, Gunal N et al. Elastofibroma dorsi management and outcomes: review of 16 cases. Interactive CardioVascular and Thoracic Surgery. 2014; 18:197-201.
  • Muramatsu K, Ihara K, Hashimoto T, et al. Elastofibroma dorsi: diagnosis and treatment. J Shoulder Elbow Surg. 2007; 16:591-595.
Year 2016, Volume: 3 Issue: 3, 134 - 136, 15.03.2016

Abstract

References

  • Ramos R, Ureña A, Macía I, Rivas F, Ríus X, Armengol J. Elastofibroma dorsi: an uncommon and under-diagnosed tumour. Arch Bronconeumol. 2011; 47(5):262-3.
  • Tsikkinis C, Balamoti S, Grigoroupoulos P et al. Elastofibroma dorsi. JBUON. 2014; 19(2): 573-6.
  • Kara M, Dikmen E, Kara SA, Atasoy P. Bilateral elastofibroma dorsi: proper positioning for an accurate diagnosis. Eur J Cardio-thoracic Surgery. 2002; 22:839-41.
  • Cota C, Solivetti F, Kovacs D, Cristiani R, Amantea A. Elastofibroma dorsi: histologic and echographic considerations. Int J Dermatol. 2006; 45:1100-03.
  • Schafmayer C, Kahlke V, Leuschner I, Pai M, Tepel J. Elastofibroma dorsi as differential diagnosis in tumors of thoracic wall. Ann Thoracic Surgery. 2006; 82:1501-04.
  • Briccoli A, Casadei R, DiRenzo M, Favale L, Bacchini P, Bertoni F. Elastofibroma dorsi. Surgery Today. 2000; 30(2):147-52.
  • Brown GW. Elastofibroma dorsi: report of two cases and literature review. Wis Med J. 1991; 90(6):281-4.
  • Greenberg JA, Lockwood RC. Elastofibroma dorsi: a case report and review of the literature. Orthop Rev. 1989; 18(3):329-33.
  • Dixon AY, Lee SH. An ultrastructural study of elastofibromas. Hum Pathol. 1980; 11(3): 257-62.
  • Schick S, Zembsch A, Gahleitner A, et al. Atypical appearance of elastofibroma dorsi on MRI: case reports and review of the literature. J Comput Assist Tomogr. 2000; 24(2):288-92.
  • Fukuda Y, Miyake H, Masuda Y, Masugi Y. Histogenesis of unique elastinophilic fibers of elastofibroma: ultrastructural and immunohistochemical studies. Hum Pathol. 1987; 18(5): 424-9.
  • Kumaratilake JS, Krishnan R, Lomax-Smith J, Clearly EG. Elastofibroma: disturbed elastic fibrillogenesis by periosteal-derived cells? An immunuelectronmicroscopic and in situ hybridization study. Hum Pathol. 1991; 22:1017-29.
  • McComb EN, Feely MG, Neff JR, Johansson SL, Nelson M, Bridge JA. Cytogenetic instability, predomi¬nantly involving chromosome 1, is characteristic of elasto¬fibroma. Cancer Genet Cytogenet. 2001; 126:68-72.
  • Kourda J, Ayadi-Kaddour A, Meria S, Hantous S, Miled KB, Mezni FE. Bilateral elastofibroma dorsi. A case report and review of the literature. Orthop Traumatol Surg Res. 2009; 95:383–7.
  • Karakurt O, Kaplan T, Gunal N et al. Elastofibroma dorsi management and outcomes: review of 16 cases. Interactive CardioVascular and Thoracic Surgery. 2014; 18:197-201.
  • Muramatsu K, Ihara K, Hashimoto T, et al. Elastofibroma dorsi: diagnosis and treatment. J Shoulder Elbow Surg. 2007; 16:591-595.
There are 16 citations in total.

Details

Primary Language English
Journal Section Case Reports
Authors

Anil Olguner This is me

Omer Kokacya

Cengiz Eser

Publication Date March 15, 2016
Published in Issue Year 2016 Volume: 3 Issue: 3

Cite

APA Olguner, A., Kokacya, O., & Eser, C. (2016). Elastofibroma Dorsi: An Uncommon Soft Tissue Tumor. Medical Science and Discovery, 3(3), 134-136. https://doi.org/10.17546/msd.98493
AMA Olguner A, Kokacya O, Eser C. Elastofibroma Dorsi: An Uncommon Soft Tissue Tumor. Med Sci Discov. March 2016;3(3):134-136. doi:10.17546/msd.98493
Chicago Olguner, Anil, Omer Kokacya, and Cengiz Eser. “Elastofibroma Dorsi: An Uncommon Soft Tissue Tumor”. Medical Science and Discovery 3, no. 3 (March 2016): 134-36. https://doi.org/10.17546/msd.98493.
EndNote Olguner A, Kokacya O, Eser C (March 1, 2016) Elastofibroma Dorsi: An Uncommon Soft Tissue Tumor. Medical Science and Discovery 3 3 134–136.
IEEE A. Olguner, O. Kokacya, and C. Eser, “Elastofibroma Dorsi: An Uncommon Soft Tissue Tumor”, Med Sci Discov, vol. 3, no. 3, pp. 134–136, 2016, doi: 10.17546/msd.98493.
ISNAD Olguner, Anil et al. “Elastofibroma Dorsi: An Uncommon Soft Tissue Tumor”. Medical Science and Discovery 3/3 (March 2016), 134-136. https://doi.org/10.17546/msd.98493.
JAMA Olguner A, Kokacya O, Eser C. Elastofibroma Dorsi: An Uncommon Soft Tissue Tumor. Med Sci Discov. 2016;3:134–136.
MLA Olguner, Anil et al. “Elastofibroma Dorsi: An Uncommon Soft Tissue Tumor”. Medical Science and Discovery, vol. 3, no. 3, 2016, pp. 134-6, doi:10.17546/msd.98493.
Vancouver Olguner A, Kokacya O, Eser C. Elastofibroma Dorsi: An Uncommon Soft Tissue Tumor. Med Sci Discov. 2016;3(3):134-6.