Histochemical and ultrastructural study of an elastofibroma dorsi coexisting with a high grade spindle cell sarcoma

Alberghini, Marco; Bacchini, Patrizia; Pignatti, G.; Maltarello, Maria Cristina; Zanella, Licciana; Maraldi, Nadir M.; Bertoni, Franco

doi:10.4081/884

Cited by 6 publications

(3 citation statements)

References 12 publications

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“…Alberghini reported a case having high spindle cell sarcoma together with ED. 20 Therefore, lipoma, hemangioma, and soft tissue sarcoma should be kept in mind for differential diagnosis in cases where there is rapid growth, significant contrast involvement, and atypical location.…”

Section: Discussionmentioning

confidence: 99%

Elastofibroma dorsi: Clinical evaluation of 61 cases and review of the literature

Deveci¹,

Özbarlas²,

Erdoğan³

et al. 2017

Acta Orthopaedica et Traumatologica Turcica

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ObjectiveElastofibroma dorsi (ED) is a rare, benign, soft tissue tumor typically located between inferior corner of scapula and posterior chest wall causing mass, scapular snapping, and pain. When classic symptoms and localization are present, it is diagnosed without biopsy and treated with marginal resection. This study retrospectively analyzed patients operated on for ED to evaluate presenting symptoms, tumor size, complications, and clinical results, and to suggest optimal treatments.MethodsThis study included 51 patients who underwent surgery for ED in 2 different clinics between 2005 and 2015. Patient age, gender, profession, side affected, symptoms, average duration of symptoms, and tumor size were researched. Radiological examinations of patients were evaluated. Patients with lesions larger than 5 cm in size were operated on. Postoperative complications, recurrence, and functional results were evaluated using Constant score and compared to preoperative values.ResultsA total of 61 operated lesions of 51 patients clinically and radiologically diagnosed with ED were retrospectively evaluated. Average length of time patient experienced symptoms was 11.21 months. Lesions in 19 (37.2%) patients were bilateral, 10 of which were symptomatic and larger than 5 cm in size, meeting indication for surgery. Average lesion diameter was 8.7 cm. Average follow-up was 26.89 months. Average of preoperative Constant score of 67.28 subsequently increased to 92.88 (p < 0.05). Seroma and hematoma were observed in 11.5% of patients.ConclusionGenerally, good clinical results can be obtained with marginal resection without requiring a biopsy, considering classic complaints and radiological appearance of ED.Level of evidenceLevel IV, Therapeutic study.

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Section: Discussionmentioning

confidence: 99%

Elastofibroma dorsi: Clinical evaluation of 61 cases and review of the literature

Deveci¹,

Özbarlas²,

Erdoğan³

et al. 2017

Acta Orthopaedica et Traumatologica Turcica

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“…There are no results in the literature on tumor size between the right and left sides. 9, 30 It has been reported that surgical treatment can usually be performed for masses larger than ≥5 cm and due to aesthetic concerns. 5 Although the subscapular region is a richly vascularized anatomical region, often at risk of hematoma, complete excision can be easily achieved with healthy surgical margins.…”

Section: Discussionmentioning

confidence: 99%

Elastofibroma dorsi’de BT bulguları: tek merkezli bir çalışmad

KÖKSAL,

TUĞTAĞ DEMİR,

ÇANKAL

2023

J Med Palliat Care / JOMPAC / jompac

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Aim: Elastofibroma dorsi (ED) is a benign pseudotumor detected by CT and/or MRI due to the penetration of fibrous and fatty tissues between the muscle structures and is more common in elderly people, especially in women, with subscapular topography. This study investigated the prevalence of elastofibroma dorsi in large series and CT findings. Material and Methods: A total of 469 patients (212 women, 257 men) who underwent thoracic CT for various reasons were included in this study. The presence, dimensions, contour and density of ED were investigated in these patients. Results: The mean age of 469 patients was 54.51±17.42 (18-88 years). Elastofibroma was detected in 15.4% (n=72) of these patients. It was determined that 69.9% (n=51) of the patients with ED were female, and the mean age of these patients was 63.21±15.72. ED was usually isodense in both sexes. Again, in both sexes, ED was more regularly contoured, and the fat planes between adjacent muscle structures were usually closed. Conclusion: Additional studies are not required when the lesion is typical and asymptomatic on CT scans. However, surgical treatment may be recommended if the lesion is symptomatic or if doubt remains regarding the benign nature of the lesion.

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“…The SUV of these patients were 2.35 and 1.99, respectively. Since no malignant transformation of ELD, except for only one case, was reported of high spindle cell sarcoma and ELD together in the current literature,[ 13 ] we did not perform biopsy in any patient preoperatively.…”

Section: Discussionmentioning

confidence: 99%

Does elastofibroma dorsi occur more frequently on the same side with the dominant hand?

Metin¹,

Evman²

2022

Turk Gogus Kalp Dama

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Background: In this study, we aimed to investigate the correlation between the side of elastofibroma dorsi formation and the dominant-hand of the patients we operated. Methods: A total of 84 patients with elastofibroma dorsi (12 males, 72 females; mean age: 55.5±7.0 years; range, 43 to 74 years) were retrospectively analyzed between April 2007 and May 2019. Dominant hand, location, size, sex, age, occupations and follow-up of the mass were recorded and the pre- and postoperative Visual Analog Scale scores were noted. Results: The mean symptom duration was 9.5±7.8 (range, 3 to 48) months. The lesions were located on the right in 49 (58.3%), on the left in 16 (19%) and bilateral in 19 (22.6%). There was no significant difference between the mass size and age, symptom duration and complication development (p=0.129). A significant relation was found between the formation of the mass on the side of the dominant hand (p=0.010). A significant difference was found between the pre- and postoperative Day 90 Visual Analog Scale scores (p<0.001), indicating a significant decrease in the pain scores. Conclusion: Elastofibroma dorsi has good clinical results after surgical resection. In our series, the patients had significantly more elastofibroma dorsi on their dominant-hand side.

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Histochemical and ultrastructural study of an elastofibroma dorsi coexisting with a high grade spindle cell sarcoma

Cited by 6 publications

References 12 publications

Elastofibroma dorsi: Clinical evaluation of 61 cases and review of the literature

Elastofibroma dorsi: Clinical evaluation of 61 cases and review of the literature

Elastofibroma dorsi’de BT bulguları: tek merkezli bir çalışmad

Does elastofibroma dorsi occur more frequently on the same side with the dominant hand?

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