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Elastofibroma: a subscapular mass
1Majeski Surgical Institute, Mt. Pleasant, SC, USA. drmajeski@aol.com
American Journal of Surgery
|June 3, 2008
Summary
A 69-year-old man presented with bilateral subscapular masses, diagnosed as elastofibromas. Surgical treatment and diagnosis of this benign soft-tissue tumor were discussed.
Area of Science:
- Medical imaging
- Pathology
- Surgical oncology
Background:
- Elastofibromas are benign soft-tissue tumors typically found in the subscapular region.
- They often present as slow-growing masses, becoming noticeable with specific arm movements.
Observation:
- A 69-year-old male exhibited bilateral masses protruding from the inferior scapular angles during arm adduction and elevation.
- The masses were located beneath the scapula in the neutral arm position.
- Chest computed tomography revealed bilateral soft-tissue opacities below each scapula.
Findings:
- Core-needle biopsy confirmed the radiologic diagnosis of subscapular elastofibroma.
- The tumors were characterized as benign soft-tissue neoplasms.
Implications:
- This case highlights the importance of considering elastofibroma in the differential diagnosis of subscapular masses.
- Accurate radiologic and clinical diagnosis is crucial for appropriate management.
- Surgical intervention is a viable treatment option for symptomatic or large elastofibromas.
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