This lesion can occur bilaterally and may appear asynchronously. Elastofibroma dorsi is a rare, benign, soft tumor located at the inferior pole of the scapula. Elastofibroma dorsi is a benign softtissue tumor with a characteristic location and appearance at ct. 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. Although elastofibroma dorsi is usually unilateral, it is also bilateral in 10% of the cases. Here you can see if there is any natural remedy andor treatment that can help people with elastofibroma dorsi. Fdgpetct imaging of elastofibroma dorsi springerlink. It is usually located in the subscapular region, and can sometimes be bilateral. We present 4 patients, between 53 and 73 years of age, with this disease. Elastofibroma dorsi ed is an uncommon, nonencapsulated, nonbenign tumor characterized by the proliferation of elastin fibers in a stroma of collagen and. Elastofibroma dorsi differential diagnosis in chest wall tumours article pdf available in world journal of surgical oncology 51. Elastofibroma dorsi ed is a tumor that develops in the space between the lower angle of the scapula and the posterior thoracic wall. Elastofibroma dorsi is a tumourlike lesion, first described by jarvi and saxen 1961 who briefly reported four cases.
Ed is a slow growing soft tissue pseudotumor incidentally diagnosed during routine imaging studies, that may also cause chronic scapular pain. Pdf magnetic resonance imaging mri is the imaging modality of choice for the evaluation of the. Elastofibroma dorsi is an uncommon benign soft tissue pseudotumour occurring in the infrascapular region of elderly patients. However, these tumors are now known to be much more commonplace in the elderly population than was previously thought.
Elastofibroma dorsi is a rare, benign, soft tissue lesion which is usually located in the infrascapular region between the muscles. Nov 01, 2006 elastofibroma dorsi is most frequently seen in older women, with a reported female predilection of 5. At clinical examination, elastofibroma dorsi is often asymptomatic. Two cases of elastofibroma dorsi are reported and the light and electron microscopic features analysed. It was first described in 1961 by jarvi and saxen, 1 and was initially considered rare. Due to the rarity of this type of tumor, the number of reported consecutive series is limited. An ultrastructural and immunohistochemical study of elastofibroma. This report describes the typical location and imaging features of this incidental hypermetabolic mass.
Elastofibroma dorsi has long been recognized5, 6, 7 as a slowly growing fibroelastic proliferation. Elastofibroma dorsi ed is a rare, benign, slow growing, solid soft tissue tumor which usually occurs at the subscapular region of the thoracic. We report a series of 8 patients 5 women, 3 men, with a mean age of 67 years range, 4480 years. This tumor typically is seen on the backs of patients who have a history of mechanical labor. In the native examination, not only fuzzy, softened, but also greasy fractions can be seen. Icd10 code of elastofibroma dorsi and icd9 code what is the icd10 code for elastofibroma dorsi. 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. The axial noncontrast chest ct scan shows a poorly defined soft tissue mass arrows on the posterolateral aspect of the chest wall with an attenuation value similar to that of the neighboring muscle and suspicious linear interspersed.
It has been suggested that elastofibromas fevelop as a response to repeated trauma. The mr and ct features of elastofibroma are different from those of most other softtissue tumors, reflecting entrapped fat within a predominantly fibrous mass. The etiology of this lesion remains uncertain and is a source of ongoing debate. Elastofibroma dorsi is an uncommon benign soft tissue pseudotumour usually located at the lower pole of the scapula, deep to serratus anterior, and often attached to the periosteum of the ribs, presenting with long history of swelling and occasionally pain and discomfort. We use cookies to offer you a better experience, personalize content, tailor advertising, provide social media features, and better understand the use of our services. Giant chest wall hematoma mimicking elastofibroma dorsi. Elastofibroma is an actual reactive process that presents itself as a tumor. Although elastofibroma dorsi is usually unilateral, it. Elastofibroma usually presents on the back usually in the subscapular region as a poorly defined mass or pseudotumour.
The lesion presents as an illdefined, slowly growing mass located anterior to the lower part of the scapula deep to subscapularis and latis simus dorsi muscles. Epidemiology it is more frequently seen in older women, with a reported female predilection of 5. Ultrastructure of elastofibroma wiley online library. Herein we report a case of a 65yearold woman with painful ed. Elastofibroma dorsi is a nonencapsulated benign tumor of the chest wall, characterized by the proliferation of fibrous tissue with elastin. Printable elastofibroma dorsi surgical pathology criteria. To date, few cases have been reported in the dermatology literature. Apr 24, 2019 elastofibroma is a rare, benign, slowgrowing connectivetissue tumor that occurs most often in the subscapular area in elderly women. Elastofibroma dorsi is a rare pseudotumor developing in a highly characteristic anatomical location. Typical mri findings especially if the tumour is bilateral confirm benign elastofibroma. The fibres differ from the elastin of arterial wall, elastotic degeneration of skin, and pseudoxanthoma elasticum. Bilateral elastofibroma dorsi the annals of thoracic surgery.
Tumeurs graisseuses des parties molles des membres et des. Elastofibroma dorsi is classically located in the infrascapular regions, deep to the serratus anterior and latissimus dorsi musculature. Elastofibroma in a 61yearold man with slowly growing mass beneath the right scapular tip. Elastofibroma dorsi is a rare, slowgrowing, ill defined soft tissue tumor thats typically found between the inferior scapula and chest wall. The differential diagnosis includes frequently observed subcutaneous neoplasms such as lipoma, fibrolipoma or more aggressive tumors. Elastofibroma dorsi is a benign tumor with no malignant potential. Jarvi and saxen first described this rare entity, elastofibroma, in 1961. This lesion is usually seen in patients over the age of 50 years and is not uncommonly mistaken as a malignant tumour. Background elastofibroma dorsi is a relatively rare soft. When classic symptoms and localization are present, it is diagnosed without biopsy and treated with marginal resection. Elastofibroma dorsi, first described in 1961, 2 is a benign, slow growing, mesenchymal soft tissue lesion.
Is there any natural treatment for elastofibroma dorsi. Elastofibromas are nonencapsulated lesions which blend with the. Although these features are not pathognomonic, their presence in a subscapular lesion in an older patient suggests a presumptive diagnosis of elastofibroma. Bilateral elastofibroma dorsi in native computed tomography. However, some cases are described with the location at the mediastinum, the stomach, the intraspinal space and others 24. Elastofibroma dorsi lastofibroma dorsi, named for its characteristic location, is a rarely seen benign soft tissue tumor mostly detected at the infrascapular region between the thoracic wall, the serratus anterior muscle, and the latissimus dorsi muscle. Elastofibroma is a rare benign soft tissue lesion, typically located deep. Elastofibroma dorsi is a benign softtissue tumor with a characteristic location and imaging appearance. Request pdf mri characteristics of nodular fasciitis of the musculoskeletal system objective. Elastofibroma dorsi is a benign slow growing connective tissue pseudotumor first described by jarvi and saxen in 1961. We report radiologic findings in 12 patients with elastofibroma dorsi to heighten radiologist awareness of the imaging characteristics of these benign. Pdf bilateral elastofibroma dorsi mehmet a bedirhan. Elastofibroma is a rare fibrous lesion that is most commonly encountered in the elderly and arises chiefly from connective tissue between the inferomedial portion of the scapula and the chest wall. Radiologic findings of bilateral 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. Pdf elastofibroma dorsi ed is considered a member of a heterogeneous group of benign fibrous fibroblastic or myofibroblastic soft tissue. Elastofibroma dorsi is a relatively rare softtissue tumour localized at the infrascapular level andor subscapular regions. The patient presented with vague bilateral infrascapular pain and swelling. As 20 patients had bilateral lesions and 14 had unilateral.
Elastofibroma is a rare benign soft tissue lesion, typically located deep under the. An mri was advised, which revealed elastofibroma dorsi linear streaky internal fat density, along with the classical location of the lesions, helped in making the diagnosis of elastofibroma dorsi. The purpose of this study was to assess retrospectively the characteristics of fdg uptake in elastofibroma dorsi using integrated petct. Elastofibroma dorsi ed is a benign connective tissue tumor that most. Elastofibroma dorsi ed is a rare benign soft tissue pseudotumoral lesion, characterised by the proliferation of fibrous tissue with elastin in the. Etiological hypothesis on five cases of elastofibroma dorsi. Elastofibroma, is an illdefined fibroelastic tumorlike condition made up of enlarged and irregular elastic fibers. Elastofibroma dorsi efd is a rare, benign, nonencapsulated lesion characterized by the proliferation of elastic fibers within a stroma of collagenous adipose tissue.
Apr 28, 2010 elastofibroma dorsi ed is a rare, benign soft tissue tumor arising from connective tissue and usually found in the subscapular region. Elastofibroma elastofibroma dorsi is a relatively rare, slowly growing proliferation of. Apr 01, 2015 10 most amazing epoxy resin and wood river table designs. The characteristics appearances of elastofibroma on mri are shown in figure 1. Elastofibroma dorsi ed is a rare, benign, soft tissue tumor typically located between inferior corner of scapula and posterior chest wall causing mass, scapular snapping, and pain. The location is classic, bilateral is described in up to 60% of the cases. Surgical resection is often indicated in the presence of an enlarging mass or when malignancy can not be excluded. 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. Since it was first described by jarvi and saxen in 1961 1, only 320 cases have been reported in. Though many patients are asymptomatic, ed can cause local deformity and symptoms such as periscapular pain or discomfort. Mri characteristics of nodular fasciitis of the musculoskeletal system.
In most cases it occurs on the dorsal thoracic wall under the inferior angle of the scapula. Bilateral and atypical localized elastofibroma dorsi in a. Case report elastofibroma dorsi acta orthopaedica belgica. Elastofibroma dorsi differential diagnosis in chest wall. D elastofibroma dorsi, american journal of clinical pathology, volume 37, issue 5, 1 may 1962, pages 49950 we use cookies to enhance your experience on our website. Onethird of patients have a family history of this diagnosis. Schlag, md, phd department of surgery and institute of pathology, university of heidelberg, heidelberg, germany elastofibroma dorsi was diagnosed in a 76yearold. Microscopically, the tumor consists of proliferated fibroblasts and accumulated abnormal elastic fibers. A axial t1w trecho time trte, 50020 and b t2w trte, 350096 images without fat suppression demonstrate a lenticular mass white arrow with signal similar to skeletal muscle and hyperintense peripheral linear streaks of entrapped fat. A clinicalpathological study of two cases of elastofibroma dorsi was ca rried out. We conducted this retrospective study to contribute to a better understanding of this tumor, the pathogenesis of which is still unclear. More common on apex of scapula, usually right sided occasionally in deltoid muscle, infraolecranon area, hip, thigh, stomach. Elastofibroma dorsi note elastofibroma is a rare, slowgrowing benign lesion of unknown origin, typically arising from the connective tissue between the subscapular area and the chest wall in elderly persons. Elastofibroma dorsi is a benign, uncommon fibroelastic tissue condition, more common in women after the fifth decade of life.
The appearances suggest that the characteristic fibres and globules that stain as for elastin arise by denaturation of collagen. First described in 1959 by jarvi and saxen, ed can cause apprehension due to its embedded location and large size frequently greater than 5. Abstract the elastofibroma dorsi is a benign, nonencapsulated pseudotumor consisting of a proliferation of fibrous tissue and elastic fibers accompanied by fatty tissue. The characteristic findings on ultrasonography, mri and ct usually allow the correct diagnosis and so prevent unnecessary surgical procedure.
It is fibrous in nature and almost exclusively affects the soft tissues around the scapula. Mar 12, 2008 elastofibroma dorsi is an uncommon benign soft tissue pseudotumour usually located at the lower pole of the scapula, deep to serratus anterior, often attached to the periosteum of the ribs, presenting with a long history of swelling and occasionally pain and discomfort in elderly patients. With ct, the diagnosis of elastofibroma could be confidently made in seven patients 63. It is believed to result from repeated mechanical friction between the scapula and the chest wall. In fact, it is usually localized anterior to the inferior pole of the scapula and the serratus anterior muscle over the ribs of the thoracic cage. Also called elastofibroma dorsi first described in 1961 by jarvi and saxen acta pathol microbiol scand 1961. It is usually located in the infrascapular region, between the thorax wall and serratus anterior and latissimus dorsi. Elastofibroma dorsi ed is a rare benign connective tissue tumor that is typically found on the inferior pole of the scapula. They occur mostly in the infrascapular region between the thoracic wall, the serratus anterior and the latissimus dorsi muscle, with a prevalence of up to 24% in the elderly. Occasionally, elastofibroma dorsi may be misdiagnosed clinically as a rotator cuff tear or subacromial bursitis. Bilateral elastofibroma dorsi hansgunther machens, md, ruth mechtersheimer, md, ulrich gohring, md, and peter n. It is a benign fibroelastic tumor inferiorly located in the infrascapular region, between the scapula and the thoracic wall deeply to the serratus and latissimus dorsi muscles, possibly inserting into the periosteum of the posterior ribs. Elastofibroma dorsi is a rare, benign lesion arising from connective tissue and usually found at the angle of the scapula.
Since that time a further seven cases have been reported, twoadditional cases have been seen in this hospital and are reported here. Various radiologic techniques have been applied for the detection and followup of elastofibroma dorsi. Mar, 2008 elastofibroma dorsi is a rare pseudotumor developing in a highly characteristic anatomical location. 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 dorsi, a rare sofi tissue tumor often seen in the subscapular chest wall, is unencapsulated with indistinguishable borders, and originates. It usually occurs between the fourth and seventh decade of.
Elastofibroma dorsi is a rare, benign nonencapsulated tumor of the soft tissue. The full text of this article is available in pdf format. Stanford medicine school of medicine departments surgical pathology criteria elastofibroma navigation for this section. The size of the lesion, location deep to the deep fascia, and attachment to the ribs suggest the possibility of soft tissue sarcoma. About europe pmc funders joining europe pmc governance roadmap. Elastofibroma dorsi ed is a rare tumor that develops in the space between the lower angle of the scapula and the posterior thoracic wall. Are there natural treatments that may improve the quality of life of people with elastofibroma dorsi. 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. Elastofibroma dorsi is a slowgrowing, noncapsulated, benign, solid, and soft tissue tumor. Elastofibroma definition of elastofibroma by medical dictionary. Giant chest wall hematoma mimicking elastofibroma dorsi 152 a b fig. Elastofibroma dorsi surgical pathology criteria stanford.