Elastofibroma dorsi: clinical and pathologic aspects of two cases

Area of Science:

• Orthopedics
• Pathology
• Dermatology

Background:

• Elastofibroma dorsi is a rare, benign soft tissue tumor.
• It typically presents as a slow-growing mass in the subscapular region.
• The etiology remains debated, with theories suggesting a reactive process versus a true neoplasm.

Observation:

• This report details two cases of elastofibroma dorsi.
• Clinical presentation and pathological findings were analyzed.
• Diagnostic challenges and differential diagnoses were considered.

Findings:

• Biopsy is crucial for differentiating elastofibroma dorsi from sarcomas.
• Histopathology reveals abnormal proliferation of elastic fibers within a fibrous stroma.
• Elastofibroma dorsi is confirmed as a benign entity, not a malignant neoplasm.

Implications:

• Accurate diagnosis prevents unnecessary aggressive treatment.
• Surgical excision is curative for symptomatic or enlarging lesions.
• Understanding the nature of elastofibroma dorsi aids in patient management and prognosis.