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[Bilateral elastofibroma dorsi].

L P Müller1, H K Wolf, C P Heussel

  • 1Klinik und Poliklinik für Allgemeinchirurgie, Johannes-Gutenberg-Universität Mainz.

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|December 11, 1999
PubMed
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This case study highlights an unusual presentation of elastofibromas, a benign soft-tissue tumor, in an elderly male patient. Histological examination confirmed elastofibromas, despite initial suspicion of malignancy.

Area of Science:

  • Oncology
  • Pathology
  • Radiology

Background:

  • Elastofibromas are rare, benign mesenchymal soft-tissue tumors.
  • Typically affecting elderly women, they predominantly occur in the subscapular region.

Observation:

  • A 75-year-old male presented with painless, bilateral, and slowly enlarging infrascapular tumors.
  • Clinical examination revealed nontender, semi-mobile masses infiltrating surrounding muscles and bone.
  • MR imaging suggested malignancy, with liposarcoma being the primary differential diagnosis.

Findings:

  • Histopathological analysis revealed elastofibromas characterized by spindle-shaped fibroblasts amidst dense collagen and elastic fibers.
  • This diagnosis contrasted with the initial clinical and radiological suspicion of malignancy.

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Implications:

  • This case underscores the importance of histopathological confirmation for diagnosing soft-tissue lesions, even with concerning imaging features.
  • It expands the known clinical spectrum of elastofibromas, particularly regarding male presentation and infrascapular location.