Imaging patterns in elastofibroma dorsi

Battaglia, Milva; Vanel, D.; Pollastri, Paola; Balladelli, Alba; Alberghini, Marco; Staals, Eric L.; Monti, Carlo; Galletti, Stefano

doi:10.1016/j.ejrad.2009.05.024

Cited by 50 publications

(37 citation statements)

References 19 publications

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“…16 In our study cohort, one patient had an EF near the iliac crest after surgical resection of an abscess 20 years ago (Table 1). In the elderly patient population (>60 years), the prevalence of elastofibroma dorsi diagnosed by computed tomography (CT) is 2%.…”

Section: Discussionmentioning

confidence: 98%

Elastofibroma: clinical results after resection of a rare tumor entity

2014

Orthop Rev

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Elastofibroma (EF) is a benign proliferation of connective tissue and is typically located at the dorsal thoracic wall. Most patients complain about pain during motion in the shoulder girdle. The aim of our study was to evaluate the outcome after surgical treatment of EF. This study provides an overview of typical clinical findings, diagnostics and pathogenesis of this rare entity. In this retrospective study we analyzed data of 12 patients (6 male, 6 female) with EF treated in our institution between 2004 and 2012. The mean follow-up was 4.7 years (range: 5 months to 7.5 years). All tumors were found to be unilateral and all patients had a negative medical history for EF. Visual analogue scale and range of motion (ROM) was documented pre- and postoperatively. In all patients indication for surgical resection was pain or uneasiness during movement. There was no statistically significant difference in ROM of the shoulder between pre- and postoperatively but all patients reported significantly less pain after surgical resection. Patients benefited from tumor resection by a significant reduction of pain levels and improvement of the motion-dependent discomfort.

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Section: Discussionmentioning

confidence: 98%

Elastofibroma: clinical results after resection of a rare tumor entity

2014

Orthop Rev

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“…2 Several authors have reported that ultrasonography is a useful diagnostic adjunct for this lesion. 2,3,19 MRI clearly shows the alternating pattern of fibrous tissue and fatty tissue, as well as the highly characteristic location of the lesion. 12 The margins may be indistinct, and the lesion itself is heterogeneous.…”

Section: Discussionmentioning

confidence: 99%

Elastofibroma dorsi: diagnostic and therapeutic algorithm

Nishio

Isayama

Iwasaki

et al. 2012

Journal of Shoulder and Elbow Surgery

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“…9,10,11 Magnetic resonance imaging (MRI) is often considered the modality of choice due to excellent soft tissue resolution; however, findings may remain nonspecific. Nonetheless, CT seems to be more accurate in determining the size of elastofibroma dorsi.…”

Section: Discussionmentioning

confidence: 99%

Unusual Presentation of Elastofibroma Dorsi on 18F-FDG-PET/CT

2016

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A 70-year-old male patient underwent an Fluorodeoxyglucose-positron emission tomography-computed tomography for staging of a left parahilar lung neoplasm found during work-up for fatigue and asthenia. The scan demonstrated a hypermetabolic lung tumor, a hypermetabolic pleural effusion and 4 hypermetabolic bilateral soft tissue lesions of the chest wall corresponding to 4 elastofibroma dorsi. Initially, the oncologic disease was classified as stage IV because of the hypermetabolic pleural effusion. A transbronchial biopsy showed squamous cell carcinoma and the cytology of the pleural effusion revealed no malignant cells. As the other 4 hypermetabolic thoracic wall lesions were correctly diagnosed as benign despite their unusual presentation, the patient underwent surgery by left pneumonectomy and mediastinal lymphadenectomy. The lymph node involvement required adjuvant chemotherapy.Diagnostic confidence of the benignity of the hypermetabolic chest wall lesions allowed a more aggressive treatment with a better outcome after a malignant pleural effusion was excluded.

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Imaging patterns in elastofibroma dorsi

Cited by 50 publications

References 19 publications

Elastofibroma: clinical results after resection of a rare tumor entity

Elastofibroma: clinical results after resection of a rare tumor entity

Elastofibroma dorsi: diagnostic and therapeutic algorithm

Unusual Presentation of Elastofibroma Dorsi on 18F-FDG-PET/CT

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