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Subscapular elastofibroma: a reactive pseudotumor

T Nielsen1, O Sneppen, O Myhre-Jensen

  • 1Shoulder and Elbow Clinic, University Hospital of Aarhus, Denmark.

Journal of Shoulder and Elbow Surgery
|May 1, 1996
PubMed
Summary
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Subscapular elastofibroma, a rare soft-tissue tumor, can cause shoulder pain and scapular elevation. Surgical excision offers a definitive treatment with no observed recurrence in a recent case series.

Area of Science:

  • Orthopedic Surgery
  • Pathology
  • Radiology

Background:

  • Elastofibroma is a rare, benign soft-tissue tumor typically found in the subscapular region.
  • It often presents insidiously, potentially leading to delayed diagnosis and treatment.

Purpose of the Study:

  • To report on six cases of subscapular elastofibroma.
  • To describe the clinical presentation, imaging characteristics, surgical management, and outcomes of this condition.

Main Methods:

  • Retrospective review of six patients diagnosed with subscapular elastofibroma.
  • Analysis of clinical data, magnetic resonance imaging (MRI) findings, surgical procedures, and follow-up information.

Main Results:

  • Patients ranged from 45 to 71 years old (mean 59.5).

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  • Symptoms included posterior shoulder pain, snapping scapula, tumor prominence, or incidental finding during thoracotomy.
  • MRI revealed non-encapsulated soft-tissue masses related to the thoracic wall and scapula.
  • Surgery involved local excision, with no recurrence observed during 1-8 years of follow-up.
  • All patients with painful lesions experienced complete pain relief post-surgery.

    • Conclusions:

    • Subscapular elastofibroma requires careful surgical management.
    • Local excision is an effective treatment, providing complete symptom resolution and no recurrence.
    • This case series highlights the importance of considering elastofibroma in the differential diagnosis of subscapular masses.