Alternatively, you can download the file locally and open with any standalone pdf reader. Links to pubmed are also available for selected references. Etiological hypothesis on five cases of elastofibroma dorsi. Elastofibroma is a rare condition whose exact incidence is unknown. Elastofibroma developing at the subscapular port site after thoracoscopic surgery. Sonographic detection of elastofibroma dorsi dalal. Elastofibroma dorsi is a benign soft tissue tumor, found in the infrascapular regions, deep to the serratus anterior and latissimus dorsi musculature. An ultrastructural and immunohistochemical study of elastofibroma. Elastofibroma dorsi ed is a benign soft tissue tumor that classically. Elastofibroma is characterized by accumulated abnormal elastic fibers and is generally regarded as a reactive process, an unusual fibroblastic pseudotumor. All structured data from the file and property namespaces is available under the creative commons cc0 license. Due to the rarity of this type of tumor, the number of reported consecutive series is limited. Elastofibroma dorsi is a benign softtissue tumor with a characteristic location and appearance at ct.
Repetitive manual labour is thought to give rise to degeneration of elastic and fibrous tissues. Any information contained in this pdf file is automatically generated from digital. In elastofibroma, the histopathology shows dense accumulation of eosinophilic tissue irregularly interdigitated into adipose tissue figure 1. Elastofibroma dorsi is a tumourlike lesion, first described by jarvi and saxen 1961 who briefly reported four cases. Elastofibroma dorsi ed is a rare, benign, soft tissue tumor typically located between inferior. It is located in the inferior subscapular region between the scapula and the thoracic wall. Have a look at things that other people have done to be happy with elastofibroma dorsi world map of elastofibroma dorsi view more.
Three patients were manual workers with frequent use of the affected arm. For imaging findings in elastofibroma, check out this nice page on. Case reports elastofibroma dorsi an unusual soft tissue tumor simulating sarcoma robert d. From 10,261 oncology fdgpetct scans performed over a 2year period, findings suggestive of elastofiboma dorsi were observed in 46 fdgpetct scans of 34 patients. Elastofibroma dorsi is classically located in the infrascapular regions, deep to the serratus anterior and latissimus dorsi musculature. It has been suggested that elastofibromas fevelop as a response to repeated trauma. Full text full text is available as a scanned copy of the original print version. Autopsy series report ed 3 cm or smaller in 24% of women and 11% of men more than 55 years old. Elastofibroma dorsi ed is a rare, benign tumor or pseudotumor arising from connective tissue. Vitale elastofibroma dorsi is a rare benign lesion of the soft tissue of the thoracic wall, usually located in the subscapular region.
We report a series of 8 patients 5 women, 3 men, with a mean age of 67 years range, 4480 years, and discuss the clinical presentation, diagnosis, and treatment. Get a printable copy pdf file of the complete article 2. Patient will present with a slow growing, deepseated, firm mass, often presenting. Here you can see if there is any natural remedy andor treatment that can help people with elastofibroma dorsi. Presentation of elastofibroma dorsi in ct and mri epos. However, these tumors are now known to be much more commonplace in the elderly population than was previously thought. Computed tomography ct scan of an elastofibroma dorsi in a well 50yearold on both sides under the serratus anterior, left more voluminous than on the right. Bilateral elastofibroma dorsi in native computed tomography. Diagnosis of elastofibroma diagnosis of elastofibroma. This page was last edited on 28 october 2018, at 15.
Elastofibroma dorsi images, diagnosis, treatment options. All the larger series of elastofibroma reported in the literature showed elastofibroma was commoner in females. Jarvi and saxen first described this rare entity, elastofibroma, in 1961. Elastofibroma dorsi is a benign slow growing connective tissue pseudotumor typically found in the elderly population. Benign, poorly circumscribed pseudotumor of subscapular region, composed of collagen and coarse enlarged elastic fibers. Cd 34, mef2, prominin 2 cd3, and factor xiiiapositive proliferating fibroblastic stromal cells connected by cx43type gap junctions.
If you do not see its contents the file may be temporarily unavailable at the journal website or you do not have a pdf plugin installed and enabled in your browser. Elastofibroma dorsi is a rare, benign, soft tumor located at the inferior pole of the scapula. Elastofibroma is a rare, benign, slowgrowing connectivetissue tumor that occurs most often in the subscapular area in elderly women. Pdf we present a 60yearold man with biopsyproven metastatic squamous cell carcinoma of the right inguinal and external iliac lymph nodes with. Additionally, numerous other sites of origin have been reported in the literature, but to date none have presented in the oral cavity. Located deep to latissimus dorsi and rhomboid muscles. References to any names, marks, products, or services of third parties or hypertext links to third. Elastofibroma dorsi ed is a rare, benign soft tissue lesion, characterised by. Anatomy of the latissimus dorsi muscle everything you need to know dr. Files are available under licenses specified on their description page. The location is classic, bilateral is described in up to 60% of the cases. Elastofibroma dorsi is an uncommon benign soft tissue pseudotumour usually located at the lower pole of the scapula, deep to serratus anterior, often attached to the periosteum of the ribs, presenting with a long history of swelling and occasionally pain and discomfort in elderly patients. Ultra sound, computed tomography, magnetic resonance imaging, and positron.
Mr imaging findings of elastofibroma dorsi in correlation. Elastofibroma is a well known pseudotumorous process that characteristically occurs in the scapular region in the presence of trauma or injury. I love seeing those amazing bunched up elastic fibers in elastofibroma dorsi. Are there natural treatments that may improve the quality of life of people with elastofibroma dorsi. Although friction between chest wall and inferior corner of scapula and. Elastofibroma of the thoracic wall, interactive cardiovascular and thoracic surgery, 2008, pp. Onethird of patients have a family history of this diagnosis. Pdf elastofibroma dorsi ed is a tumor that develops in the space between the lower angle of the scapula and the posterior thoracic wall. Elastofibroma dorsi is a relatively rare softtissue tumour localized at the infrascapular level andor subscapular regions. First described in 1961 by jarvi and saxen acta pathol microbiol scand 1961. Briefly, marginal excision is the treatment of choice in symptomatic patients, while followup appears to be a good solution in. Elastofibroma dorsi eld is a rare soft tissue benign tumor of the chest wall. Reactive hyperplasia involving abnormal elastogenesis. As 20 patients had bilateral lesions and 14 had unilateral.
Since that time a further seven cases have been reported, twoadditional cases have been seen in this hospital and are reported here. Elastofibroma dorsi differential diagnosis in chest wall. They occur mostly in the infrascapular region between the thoracic wall, the serratus anterior and the latissimus dorsi muscle, with a prevalence of up to 24% in the elderly. Any information contained in this pdf file is automatically generated from digital material submitted to epos by third parties in the form of scientific presentations. On this basis, we suggest an algorithm for the diagnosis and treatment of elastofibroma. A unique case of pancreatic mass due to pancreatic elastofibromatosis a unique case of pancreatic mass due to pancreatic elastofibromatosis.
Elastofibroma definition of elastofibroma by medical. Magnetic resonance imaging and computed tomography findings are usually typical, sonography and radiography may also contribute to the diagnosis. Thus it has often been described in patients performing repeated manual labor. Two cases of elastofibroma dorsi are reported and the light and electron microscopic features analysed. Fdgpetct imaging of elastofibroma dorsi springerlink. Elastofibroma, is an illdefined fibroelastic tumorlike condition made up of enlarged and irregular elastic fibers.
The purpose of this study was to assess retrospectively the characteristics of fdg uptake in elastofibroma dorsi using integrated petct. Elastofibroma dorsi ed is a slow growing, benign lesion of unknown cause and is most commonly seen in the periscapular or infrascapular regions of the chest wall. Genetic predisposition was reported with 32% of the 170 patients having a family history of elastofibroma. Get a printable copy pdf file of the complete article 1. Unilateral masses have a slight rightsided predilection, but up to 60% of elastofibromas are bilateral. In the native examination, not only fuzzy, softened, but also greasy fractions can be seen.
Elastofibroma is an actual reactive process that presents itself as a tumor. We report a series of 8 patients 5 women, 3 men, with a mean age of 67 years range, 4480 years. Elastofibroma dorsi is an uncommon benign soft tissue pseudotumour usually located at the lower pole of the scapula, deep to serratus anterior, and often attached to the periosteum of the ribs, presenting with long history of swelling and occasionally pain and discomfort. All patients underwent imaging of the tumor by plain radiograph, computed tomography. This lesion is usually seen in patients over the age of 50 years and is not uncommonly mistaken as a. Elastofibroma dorsi is a benign softtissue tumor with a characteristic location and imaging appearance. Its characteristic infrascapular location, softtissue or homogeneous central fatty attenuation allows for visualization on imaging. Using computerized tomography, an incidence of 2% has been reported in the elderly, but it is found in autopsies, with lesions 3 cm in diameter or smaller, in 11. So far, only a few large series have been reported. It is fibrous in nature and almost exclusively affects the soft tissues around the scapula. Though many patients are asymptomatic, ed can cause local deformity and symptoms such as periscapular pain or discomfort. The fibres differ from the elastin of arterial wall, elastotic degeneration of skin, and pseudoxanthoma elasticum. Living with elastofibroma dorsi can be difficult, but you have to fight to try to be happy. M f naylor, a g nascimento, a d sherrick, r a mcleod american journal of roentgenology.
It usually occurs between the fourth and seventh decade of life, and is more common in females. The appearances suggest that the characteristic fibres and globules that stain as for elastin arise by denaturation of collagen. Mclaughlin, md, omaha, nebraska elastofibroma dorsi, an uncommon tumor, is impor tant because it may be confused with sarcoma at op eration. Is there any natural treatment for elastofibroma dorsi. It was first described in 1961 by jarvi and saxen, 1 and was initially considered rare.
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