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Bilateral elastofibroma dorsi: proper positioning for an accurate diagnosis
Murat Kara1, Erkan Dikmen, Simay Altan Kara
1Department of Thoracic Surgery, University of Kirikkale, School of Medicine, 71100 Kirikkale, Turkey. muratkara66@hotmail.com
Summary
Bilateral elastofibroma dorsi, a rare chest wall tumor, can be diagnosed through careful physical examination. This approach helps identify nonpalpable tumors, preventing unnecessary surgeries.
Area of Science:
- Oncology
- Orthopedic Surgery
- Radiology
Background:
- Elastofibroma dorsi is a rare soft tissue tumor typically found unilaterally on the chest wall.
- Bilateral occurrence is uncommon, seen in only 10% of cases, often beneath the rhomboid major and latissimus dorsi muscles.
Observation:
- A case study of a 56-year-old woman presenting with bilateral elastofibroma dorsi is detailed.
- The diagnosis was confirmed following a physical examination with specific patient positioning.
Findings:
- Meticulous physical examination is crucial for diagnosing deep-seated periscapular tumors.
- This method can detect nonpalpable, coexisting tumors in the subscapular region, aiding in the diagnosis of bilateral elastofibroma dorsi.
Implications:
- Early and accurate diagnosis of bilateral elastofibroma dorsi can prevent misdiagnosis and subsequent unnecessary surgical interventions.
- Highlights the importance of thorough physical assessment in identifying rare tumor presentations.