Bilateral elastofibrolipoma: distinguishing from elastofibroma with adipose tissue migration (original) (raw)
Related papers
BMC Musculoskeletal Disorders
Background Elastofibroma is a benign soft tissue tumor characterized by the presence of elastic fibers in a stroma of collagen and mature adipose tissue. It is reported to have a prevalence of 2.73%, as shown by a study through computed tomography (CT) images. However, multiple elastofibromas are uncommon. Case presentation We report a case of concomitant bilateral elastofibroma in the infrascapular and gluteal regions. A 63-year-old male patient presented with a 6-month history of gradually increasing painless swellings in the upper back. On physical examination, firm, painless bilateral infrascapular masses were identified; these masses were more noticeable on forward arm flexion. Contrast-enhanced computed tomography showed well-defined bilateral infrascapular masses deep to the serratus anterior muscles as well as poorly defined bilateral gluteal masses with attenuation similar to that of the adjacent skeletal muscle. Magnetic resonance imaging revealed heterogenous masses with ...
Bilateral elastofibroma dorsi. A case report and review of the literature
Orthopaedics & Traumatology: Surgery & Research, 2009
Elastofibroma is a rare benign soft tissue lesion, typically located deep under the lower pole of the scapula. It is characterized by a fibrous and adipose tissue proliferation and most frequently affects older females. Its characteristic location and its specific aspect in imaging studies most often provides the diagnosis following an incidental discovery. Nevertheless, anatomic and pathologic confirmation is necessary to formally rule out a malignant tumor diagnosis. We report a 66-year-old woman original observation; this lady's occupation involved a number of strenuous manual activities; she consulted for chronic pain related to a left subscapular mass. MRI demonstrated, in fact, two symmetrical tumor masses under each scapula. The only symptomatic lesion was surgically excised.
Elastofibroma Dorsi, a Rare Condition, with Challenging Diagnosis. Case Report and Literature Review
Medicina, 2021
Elastofibroma dorsi (ED) is known as a particular clinical and biological entity. We report a case of a bilateral elastofibroma dorsi (ED) in a 65-year-old female who presented to the Department of General and Oncologic Surgery of Emergency Clinical Municipal Hospital Timisoara, Romania. The patient was symptomatic on the right side, presenting pain in the interscapulothoracic region associated with a variable tumoral mass, dependent on the position of the right arm. Imaging studies revealed a well-defined, bilateral tumoral mass with alternation of the muscular and fatty tissue. The initial diagnosis of lipoma was taken into consideration based on the CT scan and clinical findings. Surgical excision of the right subscapular tumor was performed without any postoperative complications. Microscopic examination of hematoxylin and eosin, Masson’s trichrome, and orcein stained slides revealed the diagnosis of ED. Considering the high rate of reported postoperative complications and the a...
Turkiye Klinikleri Journal of Medical Sciences, 2012
70-year-old woman with a biopsy-proven intracranial large B cell lymphoma was sent to whole body F18-flourodeoxyglucose positron emission tomography/computerized tomography (FDG PET/CT) imaging for the initial staging. Mild to moderate hypermetabolic multiple soft tissue masses were observed between the inferior tips of the scapulae and the chest wall and between the gluteal muscles (medius and maximus) and greater trochanters of femur bilaterally in FDG PET-CT (Figure 1,2). For the differential diagnosis of these findings, CT images were consulted to a radiologist and elastofibroma was considered according to characteristic appearance of multiple soft tissue masses. Because of its diagnostic CT pattern, neither invasive procedures nor further imaging was planned for this asymptomatic patient. Elastofibroma was first described by Järvi and Saxén in 1959. 1 It is not a true neoplasm, and is generally considered as a slowly growing, fibroblastic pseudotumor. It probably arises from periosteal fibroblasts with deranged elastic fibrillogenesis. 2 It is not uncommon and was predominantly found in elderly patients (24% of women and, 11% of men). 3 The pathogenesis of this lesion is unclear and thought to be related to repeated mechanical friction. 4 Some patients may also have a genetic predisposition. Although in the majority of the cases (more than 80%), elastofibroma is located in the subscapular region as a mass, it can rarely present itself as multiple foci in the various parts of the body, as in our case. 5 Fortunately more than half of the patients are asymptomatic and complete surgical excision is generally indicated in symptomatic cases. 6,7 Conventional imaging methods such as plain radiography, CT and magnetic resonance imaging (MRI) have been used to diagnose elastofibroma. Plain chest radiographs may show a mass in the soft tissue density
Bilateral Elastofibroma Dorsi: A Case From General Practice
Cureus, 2022
Elastofibroma is a benign soft tumor that is composed of elastic fibers in a background of collagenous and adipose tissue. However, the presence of multiple elastofibromas is considered a rare occasion. We report the case of a 39-year-old man who presented to our general practice clinic with a complaint of upper back swelling for the last three months. The swelling was completely painless. It was not associated with ulceration of the overlying skin. He reported that the swelling had not been increasing in size. There was no history of anorexia, weight loss, or preceding trauma. On examination, both shoulders had a normal range of motion with no restriction due to the mass lesions. To further characterize the mass lesions, the patient underwent a computed tomography scan of the thorax. It demonstrated bilateral lenticular subscapular mass lesions that were ill-defined but had similar attenuation to that of adjacent skeletal muscle along with the presence of interspersed streaks of fa...
Elastofibroma: Cytomorphologic, histologic, and radiologic findings in five cases
Diagnostic Cytopathology, 2012
Elastofibroma is a rare benign, solid, ill-defined and slow-growing soft tissue lesion that typically arises between the tip of scapula and chest wall of elderly. Fine needle aspiration (FNA) is a commonly used technique to definitively diagnose the condition. However, the collagenous nature of the mass often results in a paucicellular FNA smear, resulting in a false-negative report. Herein, we report cytomorphologic, histological, and radiologic findings in five cases. Five cases of elastofibroma were retrospectively retrieved from the cytopathology archives of a teaching hospital. The cytological material was obtained by CT-guided (n ¼ 2) and ultrasound-guided (n ¼ 3) FNA. Smears were stained with Diff-Quik and Papanicolaou stains. Elastic stain and mucicarmine were reviewed in one case. Radiologic images and medical records and histology of all cases were reviewed. There were four patients (two men and two women). Their ages ranged from 64 to 84 (mean ¼ 71.25 years). All tumors were subscapular (n ¼ 2 right side, n ¼ 1 left side, and one bilateral). Tumor sizes ranged from 3.3 to 7.5 cm in greatest dimension. Aspirated material was hypocellular in all cases, consisting of scattered uniform spindle cells, mature adipocytes, and collagen. Petaloid globules and serrated and braid-like linear elastic fibers were haphazardly scattered. The characteristic petaloid globules typical of elastofibroma in aspirated material can be inadvertently mistaken or overlooked since the samples are hypocellular. Awareness of cytomorphologic features of elastofibroma and the typical clinical setting will permit an accurate diagnosis and eliminate the need for preoperative biopsy. Diagn. Cytopathol. 2012;40:E99-E103. '
Soft tissue tumors: Elastofibroma
Atlas of Genetics and Cytogenetics in Oncology and Haematology, 2011
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 2.0 France Licence.
Canadian Respiratory Journal, 2008
Elastofibroma is a relatively rare soft tissue mass. The lesion is probably reactive and occurs most commonly in the periscapular region. It is a degenerative benign neoplasm with the clinical appearence of a malignant tumour. The present report describes the case of a 70-year-old man with bilateral elastofibroma. The diagnosis was established with needle aspiration biopsy and positron emission tomography/computed tomography. The present case suggests that needle aspiration biopsy and positron emission tomography/computed tomography are highly useful in the diagnosis of this rare, benign tumour.
Bilateral elastofibroma dorsi: a case report of an uncommon and under-diagnosed tumor
Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery, 2015
Elastofibroma dorsi is a rare benign tumor of the back, located between the latissimus dorsi and the rhomboid muscle. In most cases it is unilateral, but in up to 10% it occurs on both sides. The etiology is still in discussion. Here we report a case of a 51-year-old man with bilateral elastofibroma dorsi. The therapy of choice was surgical resection. No long-term complications were reported in a 6-month follow-up.