I love seeing those amazing bunched up elastic fibers in elastofibroma dorsi. Elastofibroma usually presents on the back usually in the subscapular region as a poorly defined mass or pseudotumour. The estimated mean age at diagnosis is around 6570 years. Elastofibroma dorsi is a slowgrowing, noncapsulated, benign, solid, and soft tissue tumor. Axial ct shows unilateral elastofibroma dorsi arrows. Is there any natural treatment for elastofibroma dorsi. Mr imaging findings of elastofibroma dorsi in correlation. This lesion is usually seen in patients over the age of 50 years and is not uncommonly mistaken as a malignant tumour. Autopsy series report ed 3 cm or smaller in 24% of women and 11% of men more than 55 years old. Jarvi and saxen first described this rare entity, elastofibroma, in 1961. There was no remarkable change in lesion size followed by computerized tomography with a followup period of 10,5 months. May 31, 20 a perfect mri case of bilateral elastofibroma dorsi.
Here you can see if there is any natural remedy andor treatment that can help people with elastofibroma dorsi. Jan 12, 2018 i love seeing those amazing bunched up elastic fibers in elastofibroma dorsi. Elastofibroma dorsi images, diagnosis, treatment options. Elastofibroma dorsi differential diagnosis in chest wall. Axial ct reveal elastofibroma dorsi arrows between the rib cage and the inferior pole of the scapula. It was first described in 1961 by jarvi and saxen, 1 and was initially considered rare. The fibres differ from the elastin of arterial wall, elastotic degeneration of skin, and pseudoxanthoma elasticum. It was first reported by jarvi and saxen in 1959 and. Find, read and cite all the research you need on researchgate. Elastofibroma dorsi ed is a slow growing, benign lesion of unknown cause and is most commonly seen in the periscapular or infrascapular regions of the chest wall. Elastofibroma dorsi is a relatively rare softtissue tumor. In elastofibroma, the histopathology shows dense accumulation of eosinophilic tissue irregularly interdigitated into adipose tissue figure 1. May 23, 2018 computed tomography ct scan of an elastofibroma dorsi in a well 50yearold on both sides under the serratus anterior, left more voluminous than on the right.
First described in 1961 by jarvi and saxen acta pathol microbiol scand 1961. They occur mostly in the infrascapular region between the thoracic wall, the serratus anterior and the latissimus dorsi muscle, with a prevalence of up to 24% in the elderly. Elastofibroma dorsi is a benign softtissue tumor with a characteristic location and imaging appearance. Genetic predisposition was reported with 32% of the 170 patients having a family history of elastofibroma.
Mclaughlin, md, omaha, nebraska elastofibroma dorsi, an uncommon tumor, is impor tant because it may be confused with sarcoma at op eration. Bilateral elastofibroma dorsi the annals of thoracic surgery. Case reports elastofibroma dorsi an unusual soft tissue tumor simulating sarcoma robert d. On this basis, we suggest an algorithm for the diagnosis and treatment of elastofibroma. The rarity of the condition, lack of a suitable imaging modality, and an inconsistent clinical approach in evaluating indeterminate soft tissue tumors has contributed to this failure. The pathogenesis of the lesion still remains unclear.
The tumor is characterized by its subscapular location in elderly persons and by the presence of numerous elastic fibers and globules within dense collagenous tissue. All structured data from the file and property namespaces is available under the creative commons cc0 license. Nov 01, 2006 elastofibroma dorsi is a benign softtissue tumor with a characteristic location and appearance at ct. Several studies have indicated the benefits of using magnetic resonance imaging mri to identify ed. Presentation of elastofibroma dorsi in ct and mri epos. Elastofibroma dorsi is a soft tissue mass first described in 1961 by jarvi and saxen 1.
Elastofibroma is characterized by accumulated abnormal elastic fibers and is generally regarded as a reactive process, an unusual. It is located in the inferior subscapular region between the scapula and the thoracic wall. Elastofibroma dorsi ed is a rare, benign soft tissue lesion, characterised by. Elastofibroma dorsi is a rare, benign tumor in elderly persons that usually occurs in the subscapular region. Herein we report a case of a 65yearold woman with painful ed. Recognition of the lesion is important because the differential diagnosis includes malignant tumors. Have a look at things that other people have done to be happy with elastofibroma dorsi world map. Mar 12, 2008 elastofibroma dorsi is an uncommon benign lesion. Elastofibroma is a rare, slowgrowing benign lesion of unknown origin, typically arising from the connective tissue between the subscapular area and the chest wall in elderly persons.
Elastofibroma dorsi ed is a rare, benign, soft tissue tumor typically located between inferior corner of. Pdf elastofibroma dorsi differential diagnosis in chest wall tumours. Photomicrograph of elastofibroma demonstrating myxoid background with intermixed collagen and coarse elastic fibers hematoxylineosin, original magnification. It is fibrous in nature and almost exclusively affects the soft tissues around the scapula. Computed tomography and magnetic resonance imaging diagnosis.
Elastofibroma dorsi is an uncommon benign soft tissue pseudotumour usually located at the lower pole of the scapula, deep to serratus anterior, and often attached to the periosteum of the ribs, presenting with long history of swelling and occasionally pain and discomfort. It is a hypocellular, non encapsulated lesion with variable content of collagen, fat and elastic fibers. The mass is identical with the tumors previously reported as elastofibroma dorsi, both clinically and histologically. Wed like to understand how you use our websites in order to improve them. Elastofibroma dorsi complete mri examination youtube. Elastofibroma dorsi differential diagnosis in chest wall tumours. Onethird of patients have a family history of this diagnosis.
Any information contained in this pdf file is automatically generated from digital material submitted to epos by third parties in the form of scientific presentations. Bilateral elastofibroma dorsi in native computed tomography. Though many patients are asymptomatic, ed can cause local deformity and symptoms such as periscapular pain or discomfort. It represents a degenerative pseudoneoplastic process that resembles a malignant neoplasm. Pdf a case of elastofibroma dorsi in a 63yearold patient is described. Have a look at things that other people have done to be happy with elastofibroma dorsi world map of elastofibroma dorsi view more. Elastofibroma is an actual reactive process that presents itself as a tumor. Printable elastofibroma dorsi surgical pathology criteria. Elastofibroma of the thoracic wall, interactive cardiovascular and thoracic surgery, 2008, pp. Elastofibroma dorsi ed is a rare benign soft tissue pseudotumoral lesion, characterised by the proliferation of fibrous tissue with elastin in the.
It is more frequently seen in older women, with a reported female predilection of 5. Although elastofibroma dorsi is usually unilateral, it is also bilateral in 10% of the cases. The symptoms of elastofibroma dorsi depend on the site and size of the lesion and may present as shoulder pain or snapping scapula as in our patients. M f naylor, a g nascimento, a d sherrick, r a mcleod american journal of roentgenology. It is a hypocellular, nonencapsulated lesion with variable content of collagen, fat and elastic fibers. Etiological hypothesis on five cases of elastofibroma dorsi.
Cd 34, mef2, prominin 2 cd3, and factor xiiiapositive proliferating fibroblastic stromal cells connected by cx43type gap junctions. Computed tomography ct scan of an elastofibroma dorsi in a well 50yearold on both sides under the serratus anterior, left more voluminous than on the right. Two cases of elastofibroma dorsi are reported and the light and electron microscopic features analysed. Feb 11, 2014 elastofibroma dorsi ed is a tumor that develops in the space between the lower angle of the scapula and the posterior thoracic wall. References to any names, marks, products, or services of third parties or hypertext links to third. All the larger series of elastofibroma reported in the literature showed elastofibroma was commoner in females. Elastofibroma dorsi ed is an uncommon, nonencapsulated, nonbenign tumor characterized by the proliferation of elastin fibers in a stroma of collagen and. Elastofibroma is characterized by accumulated abnormal elastic fibers and is generally regarded as a reactive process, an unusual fibroblastic pseudotumor. Elastofibroma oculi is distinguishable from the more common pterygium and pinguecula by the sparing of the immediate subepithelial zone of the conjunctiva, which is preferentially involved by these other lesions, and by failure to exhibit ultrastructurally microfibrillar aggregates and dystrophic elastic fibers. Elastofibroma definition of elastofibroma by medical. Pdf elastofibromas are benign soft tissue tumours mostly of the infrascapular region between the.
Repetitive manual labour is thought to give rise to degeneration of elastic and fibrous tissues. Although friction between chest wall and inferior corner of scapula and development of trauma is. It has been suggested that elastofibromas fevelop as a response to repeated trauma. Reactive hyperplasia involving abnormal elastogenesis. We present a series of seven cases with elastofibroma dorsi with reference to clinical findings. For imaging findings in elastofibroma, check out this nice page on. Elastofibroma dorsi differential diagnosis in chest wall tumours by download pdf 4 mb. This lesion has a tendency to occur in the right subscapular region, beneath the. It has been con sidered a rare condition but studies reported a preva lence of 2% in asymptomatic patients diagnosed by ct and a prevalence of 24% in women and 11% in men in autopsy series 2. Elastofibroma is a rare, benign, slowgrowing connectivetissue tumor that occurs most often in the subscapular area in elderly women. A perfect mri case of bilateral elastofibroma dorsi. Elastofibroma, is an illdefined fibroelastic tumorlike condition made up of enlarged and irregular elastic fibers.
Elastofibroma dorsi is a benign slow growing connective tissue pseudotumor first described by jarvi and saxen in 1961. Vitale elastofibroma dorsi is a rare benign lesion of the soft tissue of the thoracic wall, usually located in the subscapular region. The location is classic, bilateral is described in up to 60% of the cases. Alternatively, you can download the file locally and open with any standalone pdf reader. However, these tumors are now known to be much more commonplace in the elderly population than was previously thought. Are there natural treatments that may improve the quality of life of people with elastofibroma dorsi. Due to the rarity of this type of tumor, the number of reported consecutive series is limited. Jarvi and saxen 1 first described this rare entity, elastofibroma, in 1961. Concomitant bilateral elastofibroma in the infrascapular and gluteal. Elastofibroma is a rare condition whose exact incidence is unknown. Elastofibroma dorsi ed is a benign soft tissue tumor that classically. Elastofibroma dorsi ed is a rare, benign, soft tissue tumor typically located between inferior corner of scapula and posterior chest. Using computerized tomography, an incidence of 2% has been reported in the elderly, but it is found in autopsies, with lesions 3 cm in diameter or smaller, in 11.
The appearances suggest that the characteristic fibres and globules that stain as for elastin arise by denaturation of collagen. Benign, poorly circumscribed pseudotumor of subscapular region, composed of collagen and coarse enlarged elastic fibers. Living with elastofibroma dorsi can be difficult, but you have to fight to try to be happy. Located deep to latissimus dorsi and rhomboid muscles.
If you do not see its contents the file may be temporarily unavailable at the journal website or you do not have a pdf plugin installed and enabled in your browser. Elastofibroma dorsi is a rarely made radiological diagnosis. Magnetic resonance imaging and computed tomography findings are usually typical, sonography and radiography may also contribute to the diagnosis. Elastofibroma definition of elastofibroma by medical dictionary. Elastofibroma dorsi ed is a tumor that develops in the space between the lower angle of the scapula and the posterior thoracic wall. Photomicrograph of elastofibroma showing admixture of fibers with myxoid background. This page was last edited on 28 october 2018, at 15. Pdf elastofibroma dorsi ed is a tumor that develops in the space between the lower angle of the scapula and the posterior thoracic wall. In the native examination, not only fuzzy, softened, but also greasy fractions can be seen. An ultrastructural and immunohistochemical study of elastofibroma. Apr 14, 2020 elastofibroma is a rare, benign, slowgrowing connectivetissue tumor that occurs most often in the subscapular area in elderly women.
Elastofibroma dorsi ed is an uncommon, slowgrowing, benign, soft tissue tumor of unclear pathogenesis, typically located at the subscapular region of elderly people. Elastofibroma dorsi ed is a rare, benign tumor or pseudotumor arising from connective tissue. Elastofibromas are rare, pseudotumours arising at the inferior pole of the scapula that have a characteristic presentation. Briefly, marginal excision is the treatment of choice in symptomatic patients, while followup appears to be a good solution in asymptomatic ones. With magnetic resonance imaging now being recognized as the examination of choice for all indeterminate soft tissue tumors, a prebiopsy diagnosis can. Files are available under licenses specified on their description page.
Elastofibroma dorsi ed is a benign soft tissue tumor that classically presents as an illdefined mass at the inferior pole of the scapula. Elastofibroma oculi jama ophthalmology jama network. Sonographic detection of elastofibroma dorsi dalal. Pdf we present a 60yearold man with biopsyproven metastatic squamous cell carcinoma of the right inguinal and external iliac lymph nodes with. Elastofibromas are benign soft tissue tumours mostly of the infrascapular region between the thoracic wall, the serratus anterior and the.
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