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Diffusion MR: A New Diagnostic Tool for Elastofibroma Dorsi.

Uğur Temel1, Aslı Gül Akgül1, Salih Topçu2

  • 1Department of Thoracic Surgery, Health Sciences University, Sisli Etfal Training and Research Hospital, Faculty of Medicine, Istanbul, Turkey.

Sisli Etfal Hastanesi Tip Bulteni
|May 8, 2020
PubMed
Summary
This summary is machine-generated.

Elastofibroma dorsi, a benign tumor, is often diagnosed through imaging, reducing the need for biopsies. Diffusion-weighted MRI shows promise in differentiating it from malignancies, potentially avoiding surgery for some patients.

Keywords:
Chest wallimagingtumour

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Area of Science:

  • Radiology
  • Oncology
  • Pathology

Background:

  • Elastofibroma dorsi presents as a palpable mass near the scapula.
  • Accurate diagnosis relies on clinical and radiological findings.

Observation:

  • Ten patients with subscapular masses underwent diagnosis using CT, MRI, and diffusion-weighted MRI.
  • All lesions were confirmed as benign elastofibroma dorsi via biopsy and pathology.

Findings:

  • Diffusion-weighted MRI aids in differentiating elastofibroma dorsi from malignant tumors.
  • Complete surgical excision was successful in all cases with no complications.

Implications:

  • Increased awareness of elastofibroma dorsi imaging characteristics can improve diagnostic accuracy.
  • Diffusion-weighted MRI may help avoid unnecessary surgeries, especially for high-risk patients.
  • Screening for bilateral lesions is recommended to prevent repeat operations.