Elastofibroma dorsi: histologic and echographic considerations

Cota, Carlo; Solivetti, F. M.; Kovacs, Daniela; Cristiani, R; Amantea, A.

doi:10.1111/j.1365-4632.2004.02550.x

Cited by 13 publications

(7 citation statements)

References 8 publications

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“…25 These observations are similar to those of other studies and describe pathognomonic criteria. 26-28 In this study, the authors recommend a CT or MRI if the typical multi-layered pattern is missing on ultrasound. 25 …”

Section: Discussionmentioning

confidence: 99%

Elastofibroma: clinical results after resection of a rare tumor entity

2014

Orthop Rev

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Elastofibroma (EF) is a benign proliferation of connective tissue and is typically located at the dorsal thoracic wall. Most patients complain about pain during motion in the shoulder girdle. The aim of our study was to evaluate the outcome after surgical treatment of EF. This study provides an overview of typical clinical findings, diagnostics and pathogenesis of this rare entity. In this retrospective study we analyzed data of 12 patients (6 male, 6 female) with EF treated in our institution between 2004 and 2012. The mean follow-up was 4.7 years (range: 5 months to 7.5 years). All tumors were found to be unilateral and all patients had a negative medical history for EF. Visual analogue scale and range of motion (ROM) was documented pre- and postoperatively. In all patients indication for surgical resection was pain or uneasiness during movement. There was no statistically significant difference in ROM of the shoulder between pre- and postoperatively but all patients reported significantly less pain after surgical resection. Patients benefited from tumor resection by a significant reduction of pain levels and improvement of the motion-dependent discomfort.

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Section: Discussionmentioning

confidence: 99%

Elastofibroma: clinical results after resection of a rare tumor entity

2014

Orthop Rev

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“…This concept has been reinforced by other studies, particularly when used to supplement CT and MRI. [30][31][32][33] Battaglia et al 34 studied 43 patients with proven elastofibroma using ultrasonography followed by CT and MRI. It was shown that, if a typical fasciculated pattern was evident on ultrasonography, elastofibroma could be diagnosed.…”

Section: Discussionmentioning

confidence: 99%

Elastofibroma dorsi: management, outcome and review of the literature

Parratt

Donaldson

Flanagan

et al. 2010

The Journal of Bone and Joint Surgery. British volume

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Elastofibroma dorsi is an uncommon, benign, slow-growing soft-tissue tumour of uncertain aetiology. It classically presents as an ill-defined mass at the inferior pole of the scapula with symptoms which include swelling, discomfort, snapping, stiffness and occasionally pain. We report the symptoms, function and outcome after treatment of 21 elastofibromas in 15 patients. All were diagnosed by MRI and early in the series four also underwent CT-guided biopsy to confirm the diagnosis. In all, 18 tumours were excised and three were observed. After excision, the mean visual analogue score for pain decreased from 4.6 (0 to 10) pre-operatively to 2.4 (0 to 8) post-operatively (p = 0.04). The mean shoulder function, at a mean follow-up of 4.2 years (3 months to 16 years), was 78.1% (30 to 100) using the Stanmore percentage of normal shoulder assessment scoring system. The mean range of forward flexion improved from 135 degrees (70 degrees to 180 degrees ) to 166 degrees (100 degrees to 180 degrees ) after excision (p = 0.005). In four patients a post-operative haematoma formed; one required evacuation. Three patients developed a post-operative seroma requiring needle aspiration and one developed a superficial infection which was treated with antibiotics. Our findings support previous reports suggesting that a pre-operative tissue diagnosis is not necessary in most cases since the lesion can be confidently diagnosed by MRI, when interpreted in the light of appropriate clinical findings. Surgical excision in symptomatic patients, is helpful. It has been suggested that elastofibroma is caused by a local tissue reaction and is not a true neoplastic process. A strong association has been noted between elastofibroma and repetitive use of the shoulder, which is supported by our findings.

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“…Colour Doppler shows vascularization patterns similar to the surrounding muscle. In the hands of an experienced examiner, ultrasound may represent a quick and cheap diagnostic tool [34-36]. Due to its muscle like appearance in all of the imaging procedures mentioned, the lesion may go undiagnosed or, in case of abnormal features, misdiagnosed.…”

Section: Discussionmentioning

confidence: 99%