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Elastofibroma dorsi: CT demonstration.

M L Marin, J H Austin, A M Markowitz

    Journal of Computer Assisted Tomography
    |July 1, 1987
    PubMed
    Summary
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    Elastofibroma dorsi, a rare soft tissue mass, typically appears between the shoulder blade and chest wall. Imaging and biopsy help differentiate it from sarcoma before surgical removal.

    Area of Science:

    • Orthopedic Surgery
    • Radiology
    • Pathology

    Background:

    • Elastofibroma dorsi is a benign, slow-growing connective tissue proliferation.
    • It commonly presents as a fixed, palpable mass in the subscapular region.

    Observation:

    • Two cases of elastofibroma dorsi are presented, both with subscapular masses.
    • Computed tomography revealed elongated, poorly defined soft tissue masses deep to the inferior scapular angle.

    Findings:

    • The masses elevated adjacent latissimus dorsi muscle and fat.
    • Incisional biopsy ruled out malignancy (sarcoma).
    • Both masses were successfully treated with local excision.

    Implications:

    • Accurate diagnosis of elastofibroma dorsi is crucial to avoid unnecessary radical surgery.

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  • Multimodality imaging and biopsy are key diagnostic tools.
  • Complete surgical excision provides a definitive treatment for symptomatic cases.