Elastofibroma dorsi: clinicopathological analysis of 71 cases

Area of Science:

• Oncology
• Orthopedics
• Pathology

Background:

• Elastofibroma dorsi (ELD) is a rare, benign soft tissue tumor.
• Radiological assessment and clinical management of ELD lack consensus.
• This study aims to support etiological and clinical-usefulness classification hypotheses for ELD.

Purpose of the Study:

• To provide evidence for etiological and clinical-usefulness-grade classification of ELD.
• To analyze clinical, radiological, and pathological features of ELD.
• To evaluate surgical management and outcomes for ELD.

Main Methods:

• Observational study of 71 consecutive ELD cases treated surgically.
• Analysis of clinical onset, radiological, surgical, pathological, and immunohistochemical data.
• Univariate analysis to identify factors influencing morbidity.

Main Results:

• 71 patients (23 male, 48 female; mean age 60.2 years) were treated.
• 38 patients (53.5%) were asymptomatic; 33 (46.5%) reported symptoms like clunking or swelling.
• 66 patients underwent radical surgery with a 10.6% morbidity rate; all patients showed complete resolution and no recurrence at follow-up.

Conclusions:

• Elastofibroma dorsi is uncommon, benign, and effectively managed by radical surgery.
• Surgical excision leads to complete resolution of symptoms and no recurrence.
• Tumor size is associated with increased morbidity.