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Elastofibroma dorsi: benign chest wall tumor
M L Marin1, K H Perzin, A M Markowitz
1Department of Surgery, Columbia Presbyterian Medical Center, New York, N.Y. 10032.
The Journal of Thoracic and Cardiovascular Surgery
|August 1, 1989
Summary
Elastofibroma dorsi, a soft tissue tumor, was diagnosed in seven patients. Surgical excision provided complete pain relief and no recurrences were observed in this study.
Area of Science:
- Orthopedics
- Pathology
- Radiology
Background:
- Elastofibroma dorsi is a rare soft tissue tumor.
- It typically occurs in the subscapular region.
Purpose of the Study:
- To describe the clinical and pathological features of elastofibroma dorsi.
- To evaluate the treatment outcomes for patients with elastofibroma dorsi.
Main Methods:
- Retrospective review of seven patients diagnosed with elastofibroma dorsi between 1976 and 1986.
- Diagnosis was confirmed by incisional biopsy and histological examination.
- Computed tomography was used for imaging.
Main Results:
- Seven patients (ages 6-79) were diagnosed with elastofibroma dorsi.
- Five had unilateral subscapular tumors, two had bilateral masses.
- Four patients experienced pain with arm motion; all had complete pain relief after surgical excision.
- Histology showed fibrous tissue with fragmented elastic fibers.
Conclusions:
- Elastofibroma dorsi can be effectively treated with local excision, leading to complete symptom resolution and no recurrence.
- The exact nature of elastofibroma dorsi (neoplasm vs. reactive lesion) remains undetermined.
- It can mimic other soft tissue tumors like sarcoma and fibromatosis.