Elastofibroma Dorsi: Clinicopathologic Review of 6 Cases

Mortman, Keith D.; Hochheiser, Gary M.; Giblin, Erica; Manon-Matos, Yorell; Frankel, Kenneth M.

doi:10.1016/j.athoracsur.2006.11.050

Cited by 34 publications

(29 citation statements)

References 10 publications

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“…Although ED is traditionally considered to be a rare tumor (4,9), it is a well-recognized entity due to the case reports published by several authors (3-6,9). The incidence of ED in the general population has not been determined; however, Brandser et al (10) reported in their computed tomography (CT) study that ED was found in 2% of asymptomatic adults aged >60 years.…”

Section: Discussionmentioning

confidence: 99%

Elastofibroma dorsi: Surgical indications and complications of a rare soft tissue tumor

Nagano

Yokouchi

Setoyama

et al. 2014

Molecular and Clinical Oncology

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Abstract. Elastofibroma dorsi (ED) is a tumor that develops in the space between the lower angle of the scapula and the posterior thoracic wall. Due to the rarity of this type of tumor, the number of reported consecutive series is limited. Surgical excision, usually recommended for symptomatic cases to confirm diagnosis and relieve symptoms, has been associated with a high complication rate. To analyze the clinical characteristics and outcomes of surgical treatment, we retrospectively reviewed 20 consecutive cases of surgically resected ED. Of the 20 patients, 14 (70%) exhibited preoperative symptoms associated with the tumor. The mean diameter of the resected tumors averaged 72 mm (range, 45-110 mm). The surgical outcomes were satisfactory, except for the development of hematoma or seroma in 9 cases (43%), 8 of which achieved a complete resolution with conservative treatment. Age, hypertension, the presence of preoperative tumor-related symptoms and intraoperative bleeding were not found to be significantly associated with the incidence of hematoma. However, tumor diameter and the duration of postoperative drainage were significantly associated with occurrence of hematoma (P= 0.02 and P= 0.01, respectively). Surgical resection should only be recommended for symptomatic patients, due to the high incidence of postoperative complications. To prevent the development of postoperative hematoma or seroma, careful observation of the wound, with suction drainage for >7 days and additional surgical procedures to facilitate adhesion of the wound margins, are recommended.

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Section: Discussionmentioning

confidence: 99%

Elastofibroma dorsi: Surgical indications and complications of a rare soft tissue tumor

Nagano

Yokouchi

Setoyama

et al. 2014

Molecular and Clinical Oncology

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“…Since the characterization of this lesion, cases of elastofibroma have been identified at several anatomic locations, including the foot, 3 hand, 4 thigh, 5 olecranon, 6 gastrointestinal tract, 7,8 dorsal spine, 2 and eyeball 9 . Bilateral involvement has been described in 10–66% of patients 6,10–13 . Although uncommon, cases of multiple elastofibroma have also been reported 6 .…”

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confidence: 99%

“…Surgical excision is the treatment of choice, 4,14 with only one documented case of recurrence 6 . There are no reports of malignant transformation 13,15 …”

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confidence: 99%

Elastofibromatous change of the oral mucosa: case report and literature review

Nonaka¹,

Rêgo

Miguel³

et al. 2010

J Cutan Pathol

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Elastofibroma is an uncommon fibrous pseudotumor that usually occurs in the subscapular region of middle-aged and older adults. Since its seminal description, cases of elastofibroma or elastofibroma-like proliferations have been identified at several anatomic locations, including the foot, hand, thigh, olecranon, gastrointestinal tract, trachea, dorsal spine and eye. Involvement of the oral cavity is rare, with only four cases reported to date. Herein, we report a case of elastofibromatous change in the soft palate of a 55-year-old man and review the literature regarding pathogenesis, clinicopathologic features, differential diagnosis and management.

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“…Mortman et al reported in their six-case series that four cases were asymptomatic with ED diagnosed after thoracotomy for some other reason. 2 In our series, the primary complaints were swelling and pain while lying on the back, with limited mobility when using the arms in two patients.…”

Section: Discussionmentioning

confidence: 97%

“…1,2 It originates in the fascial planes between the ribs and the muscles of the thoracic wall. Elastofi broma has occasionally been reported in other locations, such as the lateral chest wall, deltoid muscle, axilla, trochanter major, subolecranon, foot, tricuspid valve, tuberositas ischii, inguinal area, omentum majus, stomach, rectum, spinal canal, sclera, orbita, and mediastinum.…”

Section: Introductionmentioning

confidence: 99%