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Imaging patterns in elastofibroma dorsi.

M Battaglia¹, D Vanel, P Pollastri

¹Diagnostic Ultrasound, Istituto Ortopedico Rizzoli, Via Pupilli 1, 40136 Bologna, Italy. milva.battaglia@ior.it

European Journal of Radiology

|June 23, 2009

Summary

This summary is machine-generated.

Elastofibroma dorsi, a rare soft tissue pseudotumor, is typically found in older females in the subscapular region. Imaging, particularly ultrasound, is often sufficient for diagnosis.

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Area of Science:

Radiology
Soft Tissue Pathology
Medical Imaging

Background:

Elastofibroma dorsi is a rare soft tissue pseudotumor.
Accurate diagnosis relies on clinico-radiologic characteristics.

Purpose of the Study:

To characterize the clinico-radiologic features of elastofibroma dorsi.
To evaluate the diagnostic utility of imaging modalities for elastofibroma dorsi.

Main Methods:

Retrospective analysis of 43 patients with elastofibroma dorsi.
Diagnosis confirmed by histology or typical imaging patterns (ultrasound, CT, MRI) with follow-up.

Main Results:

Prevalent in females around 60 years old, typically in the subscapular region (93%), often bilateral (54%).
Four ultrasound patterns (Type I-IV) and three CT/MR patterns (Type A-C) were identified, correlating with lesion characteristics.
Atypical locations (suprascapular) and synchronous lesions were noted in 7% of cases.

Conclusions:

A solid, slow-growing, deep periscapular lesion in middle-aged females with a fasciculated pattern is characteristic of elastofibroma dorsi.
Ultrasound is generally sufficient for diagnosis; CT/MRI are reserved for atypical or non-diagnostic ultrasound findings.
Biopsy is indicated only when integrated imaging suggests a non-fasciculated pattern, necessitating differentiation from malignant lesions.