Elastofibroma Dorsi: Our experience in a tertiary care hospital of Himalayan region

Abstract

Introduction: Elastofibroma dorsi (ED)is a rare, benign, connective tissue tumour typically occurring in the posterior thoracic wall between serratus anterior and lattismus dorsi muscle adjacent to the inferior angle of the scapula. Actual aetiology remains unknown, and classical clinical features, which include swelling, pain and discomfort in the scapular region along with MRI, usually confirm the diagnosis. Methods: In our study, we described 11 patients with elastofibroma dorsi from 2014 to 2021 identified retrospectively treated with marginal excision. The patient’s age, gender, lesion side, tumour size, and location were analysed in addition to intraoperative and postoperative complications. Results: The median age in our study was 58 years, with a male: female ratio of 0.57:1.The tumour was more commonly present on the left side, with pain being the most common symptom. The median size of the tumour was 7 cm. There were no intraoperative or postoperative complications. No recurrence was reported in any of the patients. Conclusion: Elastofibroma dorsi is an uncommon benign soft tissue tumour occurring in the infrascapular region of elderly patients. Typical MRI findings especially confirm benign elastofibroma. Excellent results with minimum morbidity are obtained with marginal excision. Prognosis is usually good with no recurrence.