Elastofibroma dorsi: What’s new?

Oliva, Maria Serena; Smimmo, Alessandro; Vitiello, Raffaele; Meschini, Cesare; Muratori, Francesco; Maccauro, Giulio; Ziranu, Antonio

doi:10.4081/or.2020.8708

Cited by 12 publications

(30 citation statements)

References 24 publications

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“…The occurrence of SSS in the setting of ED is the result of a vicious cycle of inflammation, scarring, and impingement [1]. ED is a known risk factor for this occurrence, stemming from the lesion causing disruption of the scapulothoracic articulation [1,8].…”

Section: Discussionmentioning

confidence: 99%

“…Elastofibroma dorsi (ED), a benign, slow-growing soft tissue tumor of mesenchymal origins with benign characteristics, is an infrequent cause and predisposing risk factor for SSS [1,3,4,7,8]. Although the pathogenesis of ED is unclear, the literature suggests that repetitive microtrauma caused by friction between the scapula and the thoracic wall may cause reactive hyperproliferation of fibroelastic tissue, resulting in subscapular ED [9,10].…”

Section: Introductionmentioning

confidence: 99%

“…With a prevalence of 3% in the adult population, ED is seen 5 times more often in patients aged 65 years and older, and twice as often in female individuals [12]. The lesion is usually seen in the subscapular or infrascapular region at the level of the rhomboid major and latissimus dorsi muscle [1,8]. Although the lesion is firmly adherent to the chest wall, the tumor can elevate the inferior scapula resulting in the scapula grating on the underlying rib cage during movement, subsequently causing inflammation and bursitis [1,8].…”

Section: Introductionmentioning

confidence: 99%

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Snapping Scapula Syndrome in the Setting of Elastofibroma Dorsi: A Case Report

Nadeem

Shah

Parasu

et al. 2021

Case Rep Orthop Res

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A 54-year-old woman presented with a 15-year history of progressively worsening left snapping scapula syndrome (SSS) in the setting of ipsilateral elastofibroma dorsi. Her pain was refractory to multiple conservative measures. She was successfully treated with focal ultrasound-guided corticosteroid injection to the superomedial border of the scapula. There was demonstrable improvement in findings between pre- and post-procedural MRI examinations. Despite the underlying cause of SSS, trials of nonoperative treatment techniques are warranted before considering surgical options. Focal ultrasound-guided corticosteroid injection, in conjunction with physiotherapy, is one such example.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Snapping Scapula Syndrome in the Setting of Elastofibroma Dorsi: A Case Report

Nadeem

Shah

Parasu

et al. 2021

Case Rep Orthop Res

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“… 3 Generally asymptomatic, when symptoms are present, they usually include a palpable mass, mild pain, and functional restriction with snapping during the scapula movement. 4 …”

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confidence: 99%

“…3 Generally asymptomatic, when symptoms are present, they usually include a palpable mass, mild pain, and functional restriction with snapping during the scapula movement. 4 Magnetic resonance imaging (MRI) demonstrates a lenticular, poorly circumscribed, heterogeneous soft-tissue mass. The lesion usually grows beneath the rhomboid major and latissimus dorsi muscles, usually developed between the inferior angle of the scapula and the thoracic wall.…”

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confidence: 99%

Unusual Late Complication of Latissimus Dorsi Free Flap Donor Site: Elastofibroma Dorsi

Cavadas

Almoguera-Martínez²,

Idriss³

2022

Plastic and Reconstructive Surgery - Global Open

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Summary: In existing literature about elastofibroma dorsi (ED), no cases reported ED arising after latissimus dorsi flap harvest. Concretely, we present a patient who developed an ED at latissimus dorsi free flap donor site 10 years after harvesting. After our research, we found the occurrence of ED after thoracotomy surgery, stressing the importance of previous local trauma. Latissimus dorsi flap harvest is also a local traumatic episode, although its association with ED has not been previously reported. Thus, ED should be considered in the differential diagnosis of deep soft tissue lumps after latissimus dorsi harvest.

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Elastofibroma Dorsi: Case Series of a Rare Chest Wall Pseudotumor

Chase¹,

Sedighim²,

Lee³

et al. 2023

World j. surg.

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Background Elastofibroma dorsi (EFD) is a pseudotumor of the thoracic wall that can be difficult to diagnose due to its rarity. Prompt recognition can limit unnecessary workup and expedite treatment. This study retrospectively analyzed patients with a diagnosis of EFD, discussing clinical presentations and surgical outcomes. Methods This is an IRB-approved single-center retrospective study of all patients with a diagnosis of elastofibroma at our institution between 2000 and 2022.Results Ten patients were identified to have a pathologic diagnosis of EFD since 2000, with half presenting in the last 5 years. Our cohort had an average age of 56.8 years and was 50% female. The average age of male subjects was younger than females, 49.6-64.0 years, respectively (p = 0.10). Eighty percent (8/10) of patients had unilateral EFDs and symptoms lasted 27.1 months on average prior to diagnosis. Surgical resection was performed on 66.67% (8/12) of masses, with 87.5% (7/8) of patients who underwent surgery reporting complete resolution of their symptoms and none reporting recurrence. Conclusions Although EFD is a rare pseudotumor, its incidence may be increasing. As such, surgeons should be aware of the typical clinical presentation; specifically, a slow growing, predominantly unilateral, painful, subscapular mass with an inhomogeneous pattern on imaging. Originally thought to predominantly affect elderly women, our study shows that younger men may be at risk as well. If patients present with EFD, complete surgical resection should be performed to achieve favorable outcomes and resolution of symptoms.

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Elastofibroma dorsi: What’s new?

Cited by 12 publications

References 24 publications

Snapping Scapula Syndrome in the Setting of Elastofibroma Dorsi: A Case Report

Snapping Scapula Syndrome in the Setting of Elastofibroma Dorsi: A Case Report

Unusual Late Complication of Latissimus Dorsi Free Flap Donor Site: Elastofibroma Dorsi

Elastofibroma Dorsi: Case Series of a Rare Chest Wall Pseudotumor

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