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Human Dupuytren's Ex Vivo Culture for the Study of Myofibroblasts and Extracellular Matrix Interactions

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Published on: April 18, 2015

Elastofibroma dorsi: diagnosis and treatment.

Keiichi Muramatsu¹, Koichiro Ihara, Takahiro Hashimoto

¹Department of Orthopedic Surgery, Yamaguchi University School of Medicine, Yamaguchi, Japan. muramatu@yamaguchi-u.ac.jp

Journal of Shoulder and Elbow Surgery

|June 15, 2007

Summary

Elastofibroma dorsi, a rare back tumor, can be diagnosed via MRI and clinical exam. Simple excision is recommended over radical resection due to frequent hematoma complications.

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Area of Science:

Orthopedic Surgery
Pathology
Radiology

Background:

Elastofibroma dorsi is a rare, benign soft tissue tumor typically found at the inferior scapula.
This study examines a series of 8 patients diagnosed with this condition.

Purpose of the Study:

To discuss the clinical presentation, diagnosis, and treatment of elastofibroma dorsi.
To evaluate the efficacy and complications of surgical interventions.

Main Methods:

Retrospective review of 8 patients with elastofibroma dorsi.
Analysis of clinical presentation, diagnostic imaging (MRI), and histopathologic findings.
Assessment of surgical outcomes and postoperative complications.

Main Results:

Mean patient age was 67 years, with a 5:3 female to male ratio.
Magnetic resonance imaging (MRI) demonstrated high concordance with histopathologic diagnosis.
Five patients underwent simple excision; three experienced postoperative hematoma complications.

Conclusions:

Clinical examination and MRI enable presumptive diagnosis of elastofibroma dorsi.
Simple excision is preferred over radical resection due to frequent symptomatic hematoma formation.
Excisional biopsy is sufficient for histopathologic diagnosis, minimizing surgical risks.