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Surgical Treatment of an Endolymphatic Sac Tumor
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Elastofibroma: management and surgical outcome.

Damiano Tambasco, Annalisa Seccia, Antonietta Cimino

    Annali Italiani Di Chirurgia
    |February 19, 2015
    PubMed
    Summary

    Surgical excision is the definitive treatment for elastofibroma, a rare soft tissue neoplasm. Complete removal ensures no recurrence of this benign, slow-growing tumor.

    Area of Science:

    • Oncology
    • Surgical Pathology
    • Radiology

    Background:

    • Elastofibroma is a rare, benign soft tissue neoplasm.
    • Typically located between the scapula and chest wall, it was initially termed Elastofibroma dorsi.
    • Misdiagnosis as lipoma or fibrolipoma can occur due to its rarity.

    Purpose of the Study:

    • To review the surgical management and outcomes of elastofibroma.
    • To highlight diagnostic challenges and confirm treatment efficacy.

    Main Methods:

    • Retrospective analysis of 115 patients undergoing surgical removal of elastofibroma from 1990 to 2013.
    • Preoperative ultrasound examinations were performed.
    • Surgical excision followed by histological examination.

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    Main Results:

    • All 115 lesions were successfully detected and removed.
    • Elastofibroma presents as a solid, oval mass (5-10 cm) attached to the periosteum.
    • Histology shows a fibrous appearance with cystic degeneration and fat islands.
    • Radical surgical excision is curative with no tendency for relapse.

    Conclusions:

    • Surgical excision is the gold standard treatment for elastofibroma.
    • Histological examination is crucial for definitive diagnosis.
    • Complete resection leads to a permanent cure.