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Bilateral elastofibroma dorsi.

H G Machens1, R Mechtersheimer, U Göhring

  • 1Department of Surgery, University of Heidelberg, Germany.

The Annals of Thoracic Surgery
|October 1, 1992
PubMed
Summary
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Elastofibroma dorsi, a rare condition causing subscapular tumors and pain, was successfully treated with surgery. This case highlights potential links between chronic trauma, elastin overproduction, and collagen degeneration in its development.

Area of Science:

  • Orthopedic Surgery
  • Pathology
  • Dermatology

Background:

  • Elastofibroma dorsi is a rare, benign soft tissue proliferation typically found in the subscapular region.
  • It commonly affects middle-aged to elderly individuals, often presenting as a slow-growing mass.
  • Etiology remains unclear, though mechanical factors and genetic predisposition are suspected.

Observation:

  • A 76-year-old female presented with bilateral subscapular masses and a 3-year history of recurrent right scapular pain.
  • Imaging confirmed the presence of bilateral subscapular tumor masses consistent with elastofibroma dorsi.
  • The patient experienced chronic, localized pain attributed to the tumor masses.

Findings:

  • Surgical extirpation of the bilateral elastofibroma dorsi masses was performed.

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  • The patient experienced complete symptom resolution post-surgery.
  • Histopathological examination confirmed the diagnosis and revealed features of excessive elastin and collagen degeneration.

    • Implications:

    • Surgical intervention can effectively resolve symptoms associated with elastofibroma dorsi.
    • The findings suggest that chronic mechanical trauma may contribute to excessive elastin production and collagen degeneration, playing a role in elastofibroma dorsi pathogenesis.
    • Further research into the biomechanical factors influencing elastofibroma dorsi development is warranted.