Élastofibrome dorsal. À propos de 14 cas, et revue de la littérature

Management and Outcome of Bilateral Elastofibroma Dorsi: 3 Cases Report and Review of Literature

“…Elastofibroma dorsi tends to be asymptomatic [1], [2] and can be underdiagnosed because of its gentleness and slow growth rate, It can also present Pain and snapping in the scapula, accompanied by swelling and a subcutaneous bump [3], [10], In the presented cases all patients presented subcutaneous bumps in parascapular region, the first patient experienced pain, the second a discomfort in shoulder abduction, while the third was asymptomatic.…”

“…The physical examination reveals in typical elastofibroma dorsi a solid mass of variable size (4-12 cm), adherent to the deep layers but non adherent to the skin, more prominent in arm abduction, painless in most cases. Other soft tissu tumors can be suspected, especially sarcomas, therefore imaging study must be performed for diagnosis confirmation such as ultrasonography, CT scan and MRI [1], [4], [8].…”

“…Treatment of elastofibroma consists in complete surgical excision of the mass [1], [6] with marginal resection, although the limit for surgical indication is still being discussed, but surgery is needed whenever the greater diameter is over 5 cm and in symptomatic cases [4]- [6], or when there is an important esthetic prejudice. Post operative wound drainage for a sufficient length in time seems to be necessary to avoid complications, our three patients underwent surgery.…”

A Unique Case of Pancreatic Mass due to Pancreatic Elastofibromatosis

“…Elastofibroma has a predilection for subscapular area and is more commonly found in elderly females. It is characterized by abnormal accumulation of elastin fibers, pathogenesis of which is unclear [7]. Several theories have been put forward to explain the pathogenesis of thoracoscapular elastofibroma including mechanical friction driven degeneration of collagen fibers and reactive hyperplasia of the fibroelastic cells secondary to an unknown stimulus [8, 9].…”

“…Most of the literature is in the form of case reports but surgical resection is the preferred therapeutic option when definitive treatment is required [7, 10, 15, 16]. …”