Bilateral elastofibroma dorsi

Pessoa, J B; Sasso, Aline Amaral Dal; Barreto, Míriam Menna; Zanetti, Gláucia; Marchiori, Edson

doi:10.1590/0100-3984.2015.0137

Cited by 4 publications

(4 citation statements)

References 11 publications

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“…1 It occurs predominantly on the right side, but, is often bilateral. 4 These tumors are more common in women over 50 years of age and extremely rare in children. 1 They are often asymptomatic but when present, symptoms typically include local scapular swelling, pain, stiffness, scapular snapping and impingement like symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…1,2,3 The most frequent upper limb limitation occurs in the anterior extension of the arm. 4 The decreasing ROM of the shoulder is a result of the mechanical irritation and discomfort caused by the tumor Though, some patients have a free ROM. 5 Elderly patients or patients with bilateral tumors of typical localization and radiographic findings do not require biopsy, and the diagnosis of elastofibroma dorsi can be presumed.…”

Section: Discussionmentioning

confidence: 99%

“…1,2,3 The most frequent upper limb limitation occurs in the anterior extension of the arm. 4 The recurrence of this tumors is rare and malignant transformation has not been described so far which makes its excision needed only in symptomatic patients. 1,3 But before a more invasive treatment is precluded the authors believe a more conservative measure must be tried and a rehabilitation program must be one of the options tried as we will illustrate with this successful case.…”

Section: Introductionmentioning

confidence: 99%

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Bilateral elastofibroma dorsi - rehabilitation of an uncommon tumor

2018

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Elastofibroma are rare, slow-growing, soft tissue benign tumors that originate from mesenchymal tissue. We report an 85-year-old male patient with the diagnosis of bilateral elastofibroma dorsi whose symptoms were bilateral chronic pain in the thoracic spine and limitation of shoulder range of motion. The proposed treatment consisted of a rehabilitation program in our department mainly focused on pain management and postural reeducation of the scapulohumeral rhythm, with great improvements namely on the anterior extension and abduction of the shoulder and with no pain at the 6-month post-treatment reevaluation. This shows an important role of Physical Medicine and Rehabilitation in the management of patients with these rare tumors.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Bilateral elastofibroma dorsi - rehabilitation of an uncommon tumor

2018

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“…The evaluation of the musculoskeletal system by imaging methods has been the motivation for a series of recent studies in the radiology literature of Brazil ( 16 - 23 ) .…”

Section: Discussionmentioning

confidence: 99%

Diagnostic performance of magnetic resonance imaging in the assessment of periosteal reactions in bone sarcomas using conventional radiography as the reference

Neto

Simão

Crema³

et al. 2017

Radiol Bras

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Objective:To evaluate the performance of magnetic resonance imaging (MRI) in detecting periosteal reactions and to compare MRI and conventional radiography (CR) in terms of the classification of periosteal reactions.Materials and Methods:Retrospective study of 42 consecutive patients (mean age, 22 years; 20 men) with a confirmed diagnosis of osteosarcoma or Ewing's sarcoma, MRI and CR images having been acquired pretreatment. Three blinded radiologists detected periosteal reactions and evaluated each periosteal reaction subtype in CR and MRI images: Codman's triangle; laminated; and spiculated. The CR was used as a benchmark to calculate the diagnostic performance. We used the kappa coefficient to assess interobserver reproducibility. A two-tailed Fisher's exact test was used in order to assess contingency between CR and MRI classifications.Results:In the detection of periosteal reactions, MRI showed high specificity, a high negative predictive value, and low-to-moderate sensitivity. For CR and for MRI, the interobserver agreement for periosteal reaction was almost perfect, whereas, for the classification of different subtypes of periosteal reaction, it was higher for the Codman's triangle subtype and lower for the spiculated subtype. There was no significant difference between MRI and CR in terms of the classifications (p < 0.05).Conclusion:We found no difference between MRI and CR in terms of their ability to classify periosteal reactions. MRI showed high specificity and almost perfect interobserver agreement for the detection of periosteal reactions. The interobserver agreement was variable for the different subtypes of periosteal reaction.

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Cutaneous Elastic Tissue Anomalies

Andrés-Ramos

Alegría-Landa

Gimeno

et al. 2019

The American Journal of Dermatopathology

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After a review of the physiology in the formation and degradation of cutaneous elastic tissue, we describe the clinicopathologic disorders characterized by increased and decreased cutaneous elastic tissue. Cutaneous disorders characterized by increased and/or abnormal elastic tissue in the dermis include elastoma, also named nevus elasticus, dermatosis lenticularis disseminata, pseudoxanthoma elasticum, late-onset focal dermal elastosis, linear focal elastosis, elastoderma, elastofibroma dorsi, and elastosis perforans serpiginosa. In some of these conditions, the specific histopathologic diagnosis may be rendered with hematoxylin-eosin stain, whereas in other ones special elastic tissue stains are necessary to demonstrate the anomalies. Cutaneous disorders characterized by decreased dermal elastic tissue include nevus anelasticus, papular elastorrhexis, perifollicular elastolysis, anetoderma cutis laxa, postinflammatory elastolysis and cutis laxa, white fibrous papulosis of the neck, pseudoxanthoma elasticum–like papillary dermal elastolysis, and mid dermal elastolysis. In most of these conditions, the histopathologic anomalies are only seen with elastic tissue stains, and cutaneous biopsies of these processes stained with hematoxylin-eosin show appearance of normal skin. The diagnosis of some of these disorders characterized by increased or decreased elastic dermal tissue should be followed by general exploration of the patient to rule out associated severe systemic anomalies, and in some cases, a genetic counseling should be offered to the family.

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Bilateral elastofibroma dorsi

Cited by 4 publications

References 11 publications

Bilateral elastofibroma dorsi - rehabilitation of an uncommon tumor

Bilateral elastofibroma dorsi - rehabilitation of an uncommon tumor

Diagnostic performance of magnetic resonance imaging in the assessment of periosteal reactions in bone sarcomas using conventional radiography as the reference

Cutaneous Elastic Tissue Anomalies

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