Elastofibroma scapulae

The cases of five patients with subscapular elastofibroma are reported. The age of the patients ranged from 53 to 74 years (mean, 61.8 years). All patients had periscapular pain and discomfort. There were two men and three women. The symptoms had lasted from 2 to 5 years. The diagnosis was clinical in every case, based on a subscapular firm mass. Four patients were operated on; one woman had bilateral surgery. On gross examination, the lesions were firm, rubbery, and approximately 2 x 8 x 10 cm. All patients were symptom-free after surgical removal of the tumor. An elastofibroma cannot be detected clinically when the patient is standing in a normal position. When the patient stands with the arms slightly elevated forward and adducted so the tumor protrudes, a palpable and visible mass appears.