Onethird of patients have a family history of this diagnosis. It is located in the inferior subscapular region between the scapula and the thoracic wall. Elastofibroma dorsi, named for its characteristic location, is a benign soft tissue tumour occurring most often in the infrascapular region of elderly women. Anatomy of the latissimus dorsi muscle everything you need to know. Elastofibroma dorsi is more commonly seen in older women, with a reported female. Elastofibroma is an actual reactive process that presents itself as a tumor. We report three cases of elastofibroma dorsi in a 48yearold man, a 33yearold woman and a 42yearold man. Get a printable copy pdf file of the complete article 2. Bilateral elastofibroma dorsi the annals of thoracic surgery.
Elastofibromatous lesion of the stomach in a patient with elastofibroma dorsi. This lesion is usually seen in patients over the age of 50 years and is not uncommonly mistaken as a malignant tumour. The efd is located between the thoracic wall and serratus anterior muscle and the muscles of rhomboid major and latissimus dorsi. Bilateral elastofibroma dorsi in native computed tomography. Become ambassador and add your answer elastofibroma dorsi treatments your answer. This page was last edited on 28 october 2018, at 15. It is more frequently seen in older women, with a reported female predilection of 5. Are there natural treatments that may improve the quality of life of people with elastofibroma dorsi.
We would like to show you a description here but the site wont allow us. Though many patients are asymptomatic, ed can cause local deformity and symptoms such as periscapular pain or discomfort. Briefly, marginal excision is the treatment of choice in symptomatic patients, while followup appears to be a good solution in asymptomatic ones. Files are available under licenses specified on their description page. Etiological hypothesis on five cases of elastofibroma dorsi. Pdf elastofibroma dorsi ed is a tumor that develops in the space between the lower angle of the scapula and the posterior thoracic wall. Magnetic resonance imaging and computed tomography findings are usually typical, sonography and radiography may also contribute to the diagnosis. Elastofibroma dorsi is a benign softtissue tumor with a characteristic location and appearance at ct. What are the best treatments for elastofibroma dorsi. It was first described in 1961 by jarvi and saxen, 1 and was initially considered rare. In 10 % of the patients bilateral, often asynchronous tumors are seen. Presentation of elastofibroma dorsi in ct and mri epos. Elastofibroma dorsi ed is an uncommon benign soft tissue tumor with.
Although they are rare, it is necessary to be aware of this benign tumour to avoid unnecessary biopsies. Several studies have indicated the benefits of using magnetic resonance imaging mri to identify ed. Elastofibroma dorsi ed is a benign soft tissue tumor that classically presents as an illdefined mass at the inferior pole of the scapula. Full text full text is available as a scanned copy of the original print version. 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. Cd 34, mef2, prominin 2 cd3, and factor xiiiapositive proliferating fibroblastic stromal cells connected by cx43type gap junctions. Elastofibroma dorsi ed is a rare, benign soft tissue lesion, characterised by.
Herein we report a case of a 65yearold woman with painful ed. Here you can see if there is any natural remedy andor treatment that can help people with elastofibroma dorsi. It is fibrous in nature and almost exclusively affects the soft tissues around the scapula. Elastofibroma dorsi is a benign softtissue tumor with a characteristic location and imaging appearance. It has been suggested that elastofibromas fevelop as a response to repeated trauma. Elastofibroma is characterized by accumulated abnormal elastic fibers and is generally regarded as a reactive process, an unusual fibroblastic pseudotumor. The appearances suggest that the characteristic fibres and globules that stain as for elastin arise by denaturation of collagen. Elastofibroma developing at the subscapular port site after thoracoscopic surgery. Elastofibroma dorsi ed is an uncommon, slowgrowing, benign, soft tissue tumor of unclear pathogenesis, typically located at the subscapular region of elderly people. Two cases of elastofibroma dorsi are reported and the light and electron microscopic features analysed. Elastofibroma dorsi is a slowgrowing, noncapsulated, benign, solid, and soft tissue tumor. 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. 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. We report herein a case of a 56yearold woman with bilateral elastofibroma dorsi.
See the best treatments for elastofibroma dorsi here. Elastofibroma dorsi eld is a rare soft tissue benign tumor of the chest wall. Jarvi and saxen first described this rare entity, elastofibroma, in 1961. Repetitive manual labour is thought to give rise to degeneration of elastic and fibrous tissues.
Vitale elastofibroma dorsi is a rare benign lesion of the soft tissue of the thoracic wall, usually located in the subscapular region. Full text get a printable copy pdf file of the complete article 3. In 50% of the cases, the tumor remains asymptomatic or causes mild discomfort only, explaining the long periods of up to 67 years between the onset of the symptoms and treatment 14, 24, 25. On this basis, we suggest an algorithm for the diagnosis and treatment of elastofibroma. Autopsy series report ed 3 cm or smaller in 24% of women and 11% of men more than 55 years old. Elastofibroma dorsi is a benign soft tissue tumor, found in the infrascapular regions, deep to the serratus anterior and latissimus dorsi musculature. It is usually unilateral, and bilateral involvement occurs in only 10% of patients. Any information contained in this pdf file is automatically generated from digital. Elastofibroma dorsi is a benign tumor with no malignant potential. Elastofibroma dorsi ed is a rare, benign soft tissue tumor arising from connective tissue and usually found in the subscapular region.
All structured data from the file and property namespaces is available under the creative commons cc0 license. The late late show with james corden recommended for you. All the larger series of elastofibroma reported in the literature showed elastofibroma was commoner in females. M f naylor, a g nascimento, a d sherrick, r a mcleod american journal of roentgenology. Pdf we present a 60yearold man with biopsyproven metastatic squamous cell carcinoma of the right inguinal and external iliac lymph nodes with. The fibres differ from the elastin of arterial wall, elastotic degeneration of skin, and pseudoxanthoma elasticum. Is there any natural treatment for elastofibroma dorsi. Elastofibroma is a rare condition whose exact incidence is unknown. The estimated mean age at diagnosis is around 6570 years. The morphology and clinical behaviour indicate that elastofibroma dorsi is a reactive fibromatosis rather than a true neoplasm. Reactive hyperplasia involving abnormal elastogenesis.
Elastofibroma usually presents on the back usually in the subscapular region as a poorly defined mass or pseudotumour. Elastofibromas are rare, pseudotumours arising at the inferior pole of the scapula that have a characteristic presentation. Elastofibroma is a rare, benign, slowgrowing connectivetissue tumor that occurs most often in the subscapular area in elderly women. Please print this document and complete and return. The location is classic, bilateral is described in up to 60% of the cases. In the native examination, not only fuzzy, softened, but also greasy fractions can be seen. Genetic predisposition was reported with 32% of the 170 patients having a family history of elastofibroma. 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 as a cause of shoulder pain or snapping scapula. Elastofibroma dorsi is a tumourlike lesion, first described by jarvi and saxen 1961 who briefly reported four cases.
However, these tumors are now known to be much more commonplace in. The full text of this article is available in pdf format. Elastofibroma dorsi differential diagnosis in chest wall. Located deep to latissimus dorsi and rhomboid muscles.
Due to the rarity of this type of tumor, the number of reported consecutive series is limited. Benign, poorly circumscribed pseudotumor of subscapular region, composed of collagen and coarse enlarged elastic fibers. First described in 1961 by jarvi and saxen acta pathol microbiol scand 1961. Although elastofibroma dorsi is usually unilateral, it is also bilateral in 10% of the cases.
Elastofibroma dorsi images, diagnosis, treatment options. Links to pubmed are also available for selected references. Elastofibromas are benign mesenchymal softtissue lesions that mainly affect elderly women. Sonographic detection of elastofibroma dorsi dalal. What is the life expectancy of someone with elastofibroma dorsi. It is usually located in the infrascapular region, between the thorax wall and serratus anterior and latissimus dorsi. Elastofibroma definition of elastofibroma by medical. Ed is usually found in elderly women above 50 years and manual. Elastofibroma, is an illdefined fibroelastic tumorlike condition made up of enlarged and irregular elastic fibers. Elastofibroma dorsi ed is a rare, benign, soft tissue tumor typically located between inferior corner of scapula and posterior chest wall causing mass, scapular snapping, and pain. We conducted this retrospective study to contribute to a better understanding of this tumor, the pathogenesis of which is still unclear. Any information contained in this pdf file is automatically generated from digital material. The pathogenesis of the lesion still remains unclear.
Elastofibroma dorsi is a rare, slowgrowing, illdefined soft tissue tumor of the chest wall, most commonly located beneath the rhomboid major and latissimus dorsi muscles. Elastofibroma dorsi efd is a slowgrowing, noncapsulated, rare, benign, solid, and soft tissue tumor with no welldefined boundaries, which is often observed in the subscapular region on the thorax wall 1, 2. Elastofibroma dorsi is a rare, slowgrowing, pseudotumoral lesion of the soft tissues of the chest wall with a peculiar radiographic and histologic pattern. When classic symptoms and localization are present, it is diagnosed without biopsy and treated with marginal resection. 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. Mr imaging findings of elastofibroma dorsi in correlation. The symptoms of elastofibroma dorsi depend on the site and size of the lesion and may present as shoulder pain or snapping scapula as in our patients. Elastofibroma dorsi ed is a rare, benign tumor or pseudotumor arising from connective tissue.
750 525 152 1416 457 1028 163 1267 702 550 900 659 1087 1582 522 23 1351 1327 1016 1586 861 933 917 243 28 1567 1108 276 800 111 309 49 757 828 665