Elastofibroma dorsi: an uncommon and under-diagnosed tumour

Elastofibroma dorsi is a relatively rare soft-tissue tumour localized at the infra-scapular level and/or subscapular regions. It usually occurs between the fourth and seventh decade of life, and is more common in females. We reviewed sixteen elastofibromas diagnosed in 12 patients (7 females, 58.3%). Four patients had bilateral elastofibromas. The most common symptom was pain. Presumptive diagnosis was made by physical examination. Chest ultrasound, computed tomography and/or magnetic resonance imaging were performed to confirm the diagnosis. Surgery was performed under general anaesthesia. No major complications were observed. Elastofibromas are tumours of the chest wall with an uncertain impact. Surgical resection is indicated only in symptomatic patients.