Elastofibroma dorsi management and outcomes: review of 16 cases

Karakurt, Özgür; Kaplan, Tevfik; Günal, Nesimi; Gülbahar, Gültekin; Koçer, Bülent; Han, Serdar; Dural, Koray; Sakıncı, Ünal

doi:10.1093/icvts/ivt442

Cited by 22 publications

(25 citation statements)

References 19 publications

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“…Tamimi Mariño et al 16 reported 10% recurrence rate after a mean post-surgical period of 47 months. Karakurt et al 11 observed no recurrences in their 16 patient series. In our patient, we totally excised the masses by bilateral subscapular incision.…”

Section: Discussionmentioning

confidence: 83%

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Bilateral elastofibroma dorsi: A case report

Sarıcı

Basbay

Muştu

et al. 2014

International Journal of Surgery Case Reports

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INTRODUCTIONElastofibroma dorsi(EFD) is slow-growing, benign, soft tissue tumor of unclear pathogenesis, typically located at the subscapular region of elderly people. It may be unilateral or bilateral. As it exhibits benign behavior, it should be surgically removed only in symptomatic patients. Magnetic resonance imaging (MRI) is a useful tool for assessment of EFD and can potentially help avoid the need for unnecessary biopsy and surgery.PRESENTATION OF CASEA 62-year-old woman presented with 2 years complaint of back pain, particularly aggravated with shoulder movements and swelling with bilateral elastofibroma dorsi. Both masses were totally excised with bilateral posterolateral subscapular incision. Symptoms were completely controlled and significant discomfort from the surgical procedure was completely resolved with in a few weeks interval from the operation.DISCUSSIONThe pathogenesis of the EFD still remains unclear. Elastofibroma dorsi has an unspecific clinical presentation and can be confused with other tumors of the periscapular region Imaging studies are useful for diagnosis.CONCLUSIONElastofibroma dorsi is benign soft tissue tumor mostly observed in the subscapular regions of elderly female patients. The surgery is indicated in symptomatic cases and must be confined to simple excision of the lesion.

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Section: Discussionmentioning

confidence: 83%

“… 8–10 Perhaps, multiple factors might account for the etiopathogenesis. Karakurt et al 11 reported 16 case with EFD. In this study 6 patients were manual laborers.…”

Section: Discussionmentioning

confidence: 99%

Bilateral elastofibroma dorsi: A case report

Sarıcı

Basbay

Muştu

et al. 2014

International Journal of Surgery Case Reports

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“…1 While recent developments in genetic analysis methods have provided new findings about the genomic changes in the pathogenesis of EFD, the data fall short of demonstrating that EFD is an outcome of chromosomal anomaly. 7 The most widely accepted view in explaining the pathogenesis of EFD describes EFD as a reactive formation. According to the classic view proposed by Jarvi et al 4 , repetitive microtraumas in the subscapular region caused by the friction between the lower end of the scapula and the thoracic wall leads to reactive hyperproliferation of the fibroelastic tissue.…”

Section: Discussionmentioning

confidence: 99%

Possible Relationship Between Bilateral Elastofibroma Dorsi and Hypermastia

et al. 2017

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Elastofibroma dorsi (EFD) is a rare, benign, soft tissue tumor with an unclear pathogenesis, typically localized to the subscapular region. It occurs within the periscapular area between the ribs and dorsal chest wall muscles. Repetitive microtrauma by friction between the lower part of the scapula and the thoracic wall may cause reactive hyperproliferation of the fibroblastic tissue. This view has been supported by the higher prevalence of EFD, particularly among individuals who perform hard manual labor. EFD can, however, also be observed in those who have never performed hard manual labor and particularly in women over the age of 50. In this report, we present a case of bilateral EFD in a 52-year old woman with bilateral hypermastia, and examine the possible correlation between hypermastia and EFD.

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“…[5] Etyopatogenezi kesin olarak bilinmemekle birlikte, subskapular bölgede yineleyen mikrotravmalar sonrasında skapula alt ucunun göğüs duvarına sürtün-mesi sonucunda gelişen reaktif bir lezyon olabileceği düşünülmektedir. Yoğun kol performansı gerektiren sıklıkla ağır işlerde çalışan kişilerde ve baskın tarafta görülmesi, ED gelişiminde travmanın rolünün olabileceğini, hatta mesleki nedenlerin de etkili olabileceğini düşündürmüştür.…”

Section: Discussionunclassified

Elastofibroma dorsi: a case report

Midik¹

2016

Turk J Phys Med Rehab

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ÖZElastofibroma dorsi nadir görülen, genellikle skapulanın altındaki kaslar arasına yerleşen iyi huylu bir yumuşak doku lezyonudur. Sıklıkla asemptomatiktir ancak skapulanın hareketiyle orta şiddette omuz ağrısına neden olabilir. Klinik bulgular ve görüntüleme yöntemleri tanıda yararlıdır. Sırtın skapular bölgesinde bir yumuşak doku kitlesi ile eşlik eden omuz ağrısının ayırıcı tanısında elastofibroma dorsi de akılda tutulmalıdır. Bu yazıda, polikliniğimize başvuran ve tek taraflı elastofibroma dorsi tanısı konulan 57 yaşında bir erkek olgu sunuldu.Anahtar sözcükler: Elastofibroma dorsi; omuz ağrısı; yumuşak doku lezyonu. ABSTRACTElastofibroma dorsi is a rare, benign, soft tissue lesion which is usually located in the infrascapular region between the muscles. It is often asymptomatic; however, it may cause moderate shoulder pain during the movement of the scapula. Clinical findings and imaging methods are useful for the diagnosis. Elastofibroma dorsi should be considered in the differential diagnosis of a soft tissue mass in the scapular region of the back associated with shoulder pain. Herein, we present a 57-year-old male case admitted to our outpatient clinic and diagnosed with a unilateral elastofibroma dorsi.

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Elastofibroma dorsi management and outcomes: review of 16 cases

Abstract: Elastofibroma dorsi is a rare, ill-defined, pseudotumoural lesion of the soft tissues. Surgical treatment can be proposed if the lesion is symptomatic. Furthermore, at the follow-up, the possibility of new occurrences on the contralateral side should be kept in mind.

Cited by 22 publications

References 19 publications

Bilateral elastofibroma dorsi: A case report

Bilateral elastofibroma dorsi: A case report

Possible Relationship Between Bilateral Elastofibroma Dorsi and Hypermastia

Elastofibroma dorsi: a case report

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