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Subscapular elastofibrolipoma treated with marginal resection: two case reports. J Med Case Rep 2022; 16:296. [PMID: 35915504 PMCID: PMC9344634 DOI: 10.1186/s13256-022-03522-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2022] [Accepted: 07/10/2022] [Indexed: 11/25/2022] Open
Abstract
Background Elastofibroma dorsi is a rare benign tumor of soft tissue, typically under the lower angle of the scapula. Its specific location and distinctive clinical symptoms can provide enough information for diagnosis. Nevertheless, pathological confirmation by biopsy may be needed to rule out other malignancies. Case presentation Here, we present two cases of 63-year-old and 49-year-old female Asian patients who came to us with the chief complaint of pain and bulging in their shoulders. Both patients had rubbery and mobile masses. Also, shoulder movements were not restricted in the examination; however, the patients expressed pain during movements. Computed tomography scans were compatible with the diagnosis of elastofibroma dorsi. Surgical excision was performed for both cases owing to the symptomatic nature of the masses, and histopathological findings confirmed the diagnosis. Conclusion Elastofibroma dorsi is a benign pseudotumor presenting with an uncomfortable feeling in the shoulder with movement in older females. In typical symptom-free cases of elastofibroma dorsi, observation is sufficient, while in symptomatic patients or if there is suspicion of malignancy, complete resection with marginal resection is the treatment of choice.
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Does elastofibroma dorsi occur more frequently on the same side with the dominant hand? TURKISH JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY 2022; 30:250-256. [PMID: 36168565 PMCID: PMC9473602 DOI: 10.5606/tgkdc.dergisi.2022.21885] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/07/2021] [Accepted: 09/30/2021] [Indexed: 12/01/2022]
Abstract
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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Dzian A, Malík M, Hamada L, Marcinek J. Bilateral Subscapular Masses Diagnosed as Elastofibroma Dorsi. Indian J Surg 2021. [DOI: 10.1007/s12262-021-02875-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Neagoe O, Faur CI, Ionică M, Baderca F, Folescu R, Gurgus D, Zamfir CL, Motoc A, Grigoraș ML, Mazilu O. Elastofibroma Dorsi, a Rare Condition, with Challenging Diagnosis. Case Report and Literature Review. ACTA ACUST UNITED AC 2021; 57:medicina57040370. [PMID: 33921212 PMCID: PMC8070463 DOI: 10.3390/medicina57040370] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2021] [Revised: 04/04/2021] [Accepted: 04/07/2021] [Indexed: 12/25/2022]
Abstract
Elastofibroma dorsi (ED) is known as a particular clinical and biological entity. We report a case of a bilateral elastofibroma dorsi (ED) in a 65-year-old female who presented to the Department of General and Oncologic Surgery of Emergency Clinical Municipal Hospital Timisoara, Romania. The patient was symptomatic on the right side, presenting pain in the interscapulothoracic region associated with a variable tumoral mass, dependent on the position of the right arm. Imaging studies revealed a well-defined, bilateral tumoral mass with alternation of the muscular and fatty tissue. The initial diagnosis of lipoma was taken into consideration based on the CT scan and clinical findings. Surgical excision of the right subscapular tumor was performed without any postoperative complications. Microscopic examination of hematoxylin and eosin, Masson’s trichrome, and orcein stained slides revealed the diagnosis of ED. Considering the high rate of reported postoperative complications and the asymptomatic presentation of the contralateral subscapular mass, the patient underwent clinical and imagistic monitoring for the contralateral tumor. Due to its rare nature, ED is a difficult preoperative diagnosis that can, however, be suggested by its specific location and may require an accurate histopathological examination for a final diagnosis.
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Affiliation(s)
- Octavian Neagoe
- First Department of Surgery, Second Discipline of Surgical Semiology, “Victor Babeș” University of Medicine and Pharmacy, Eftimie Murgu Sq. Nr.2, 300041 Timișoara, Romania; (O.N.); (O.M.)
| | - Cosmin Ioan Faur
- Department of Orthopedics, “Victor Babeș” University of Medicine and Pharmacy, Eftimie Murgu Sq. Nr.2, 300041 Timișoara, Romania
- Correspondence: (C.I.F.); (C.L.Z.); Tel.: +40-723-962-104 (C.I.F.); +40-744-571-673 (C.L.Z.)
| | - Mihaela Ionică
- Department of Functional Sciences, Discipline of Pathophysiology, “Victor Babeş” University of Medicine and Pharmacy, 300041 Timişoara, Romania;
| | - Flavia Baderca
- Department of Microscopic Morphology, “Victor Babeș” University of Medicine and Pharmacy, Eftimie Murgu Sq. Nr.2, 300041 Timișoara, Romania;
| | - Roxana Folescu
- Department of Balneology, Medical Recovery and Rheumatology, “Victor Babeș” University of Medicine and Pharmacy, Eftimie Murgu Sq. Nr.2, 300041 Timișoara, Romania; (R.F.); (D.G.)
| | - Daniela Gurgus
- Department of Balneology, Medical Recovery and Rheumatology, “Victor Babeș” University of Medicine and Pharmacy, Eftimie Murgu Sq. Nr.2, 300041 Timișoara, Romania; (R.F.); (D.G.)
| | - Carmen Lăcrămioara Zamfir
- Department of Morpho-Functional Sciences I, “Grigore T. Popa” University of Medicine and Pharmacy, 16 Universitatii Str., 700115 Iași, Romania
- Correspondence: (C.I.F.); (C.L.Z.); Tel.: +40-723-962-104 (C.I.F.); +40-744-571-673 (C.L.Z.)
| | - Andrei Motoc
- Department of Anatomy and Embryology, “Victor Babeș” University of Medicine and Pharmacy, Eftimie Murgu Sq. Nr.2, 300041 Timisoara, Romania; (A.M.); (M.L.G.)
| | - Mirela Loredana Grigoraș
- Department of Anatomy and Embryology, “Victor Babeș” University of Medicine and Pharmacy, Eftimie Murgu Sq. Nr.2, 300041 Timisoara, Romania; (A.M.); (M.L.G.)
| | - Octavian Mazilu
- First Department of Surgery, Second Discipline of Surgical Semiology, “Victor Babeș” University of Medicine and Pharmacy, Eftimie Murgu Sq. Nr.2, 300041 Timișoara, Romania; (O.N.); (O.M.)
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Tripathy S, Parida GK, Naswa N, Subudhi K, Sreedharan Thankarajan AR, Reddy S. Elastofibroma Dorsi: Findings on 18F-Fluorodeoxyglucose Positron Emission Tomography-Computed Tomography. Indian J Nucl Med 2019; 34:258-259. [PMID: 31293317 PMCID: PMC6593937 DOI: 10.4103/ijnm.ijnm_6_19] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
Elastofibroma dorsi (EFD) is a relatively rare soft-tissue pseudotumor that arises from mesenchymal tissue. We present a case of 48-year-old woman who underwent 18F fluorodeoxyglucose (FDG) positron emission tomography-computed tomography for initial staging of suspected carcinoma of the left breast. Incidental detection of soft-tissue masses showing moderate FDG uptake was seen in the bilateral infrascapular location characteristic of EFD.
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Affiliation(s)
- Sarthak Tripathy
- Department of Nuclear Medicine, All India Institute of Medical Sciences, New Delhi, India
| | - Girish Kumar Parida
- Department of Nuclear Medicine and PET-CT, Delhi Institute of Functional Imaging, New Delhi, India
| | - Niraj Naswa
- Department of Nuclear Medicine and PET-CT, Delhi Institute of Functional Imaging, New Delhi, India
| | - Kishan Subudhi
- Department of Nuclear Medicine, All India Institute of Medical Sciences, New Delhi, India
| | | | - Sreenivas Reddy
- Department of Nuclear Medicine, All India Institute of Medical Sciences, New Delhi, India
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Tsubakimoto M, Yamashiro T, Tsuchiya N, Okada M, Maehara H, Kitsukawa K, Murayama S. MRI findings and demographics of elastofibroma dorsi: assessment of diffusion-weighted imaging and contrast enhancement patterns. Acta Radiol 2018; 59:709-715. [PMID: 28920444 DOI: 10.1177/0284185117732099] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Background Elastofibroma dorsi is a rare pseudotumoral lesion. Thus, there is no report of magnetic resonance imaging (MRI) findings that investigates multiple patients particularly with respect to diffusion-weighted imaging (DWI) findings and contrast enhancement patterns. Purpose To describe the imaging findings of elastofibroma on MRI, particularly DWI findings and contrast enhancement patterns, and to further investigate patient demographics. Material and Methods Forty-four patients with elastofibroma that underwent MRI were enrolled in this retrospective study. All images were evaluated by two radiologists to visually assess the signal intensity for each sequence. Enhanced elastofibromas were classified into four categories to assess the enhancement pattern. Differences in gender and laterality were also assessed statistically. Results An equal number of men and women were included (n = 22 each). There was no significant difference in laterality ( P = 0.783). All lesions (73 lesions) had low signal intensity on both T1-weighted (T1W) and T2-weighted (T2W) images: heterogeneous in 56, homogeneous in 17. None of the 41 lesions with DWI had true abnormal diffusion restriction. The average ADC value was 1.36 × 10-3 ± 0.29 mm2/s. All 31 lesions that had contrast-enhanced MRI were classified according to enhancement pattern: homogeneous (three lesions, 9.7%); heterogeneous (15 lesions, 48.4%); streak-like (three lesions, 9.7%); and rim-like (ten lesions, 32.2%). Conclusion There were no statistically significant differences in gender or laterality. Elastofibroma showed homogeneous to heterogeneous low signal intensity on T1W and T2W images. No lesion showed abnormal diffusion restriction, and all lesions demonstrated enhancement on MRI.
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Affiliation(s)
- Maho Tsubakimoto
- Department of Radiology, Graduate School of Medical Science, University of the Ryukyus, Okinawa, Japan
| | - Tsuneo Yamashiro
- Department of Radiology, Graduate School of Medical Science, University of the Ryukyus, Okinawa, Japan
| | - Nanae Tsuchiya
- Department of Radiology, Graduate School of Medical Science, University of the Ryukyus, Okinawa, Japan
| | - Masahiro Okada
- Department of Radiology, Graduate School of Medical Science, University of the Ryukyus, Okinawa, Japan
| | - Hiroki Maehara
- Department of Orthopedic Surgery, Graduate School of Medical Science, University of the Ryukyus, Okinawa, Japan
| | - Kaoru Kitsukawa
- Department of Radiology, St. Marianna University School of Medicine, Kanagawa, Japan
| | - Sadayuki Murayama
- Department of Radiology, Graduate School of Medical Science, University of the Ryukyus, Okinawa, Japan
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Elastofibroma dorsi: Clinical evaluation of 61 cases and review of the literature. ACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICA 2017; 51:7-11. [PMID: 27780619 PMCID: PMC6197596 DOI: 10.1016/j.aott.2016.10.001] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/23/2016] [Revised: 03/01/2016] [Accepted: 03/21/2016] [Indexed: 11/24/2022]
Abstract
OBJECTIVE Elastofibroma 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. METHODS This 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. RESULTS A 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. CONCLUSION Generally, good clinical results can be obtained with marginal resection without requiring a biopsy, considering classic complaints and radiological appearance of ED. LEVEL OF EVIDENCE Level IV, Therapeutic study.
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Incidental detection of elastofibroma dorsi on PET-CT: initial findings and changes in tumor size and standardized uptake value on serial scans. Nucl Med Commun 2016; 37:837-42. [PMID: 27092663 DOI: 10.1097/mnm.0000000000000517] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE We describe changes in elastofibroma dorsi (EFD) as observed in serial fluorine-18 fluorodeoxyglucose (F-FDG) PET-computed tomography (CT) imaging studies. MATERIALS AND METHODS F-FDG PET-CT studies carried out between January 2006 and January 2015 at a single institution were reviewed by an experienced radiologist and nuclear medicine specialist. When available, previous or subsequent imaging studies were reviewed to evaluate changes in EFD. RESULTS Of 28 500 PET-CT studies carried out, EFD was identified in 68 from 20 patients (mean age 67.1±10.2 years; 14 women). Five patients had unilateral lesions and 15 patients had bilateral lesions. Eighteen patients had oncologic diseases. The mean size of EFD at first presentation was 13.95±5.90 mm and the mean homogeneous low-grade F-FDG uptake was maximum standardized uptake value (SUVmax) 2.24±0.95. One or more additional CT scans were performed in 17 patients; the mean interval between the first and last scans was 57.4±39.2 months. EFD was unchanged in size in 7/17 (41%) and showed slow growth in 10/17, reaching a mean size of 19 mm. The mean monthly growth rate was 0.1±0.10 mm. PET imaging in 11 patients showed a mean first SUVmax of 2.08±1.17 and a mean last SUVmax of 2.74±1.05 after a mean of 47.5±31.5 months (P=0.63). CONCLUSION Serial PET-CT studies may show a stable or slowly enlarging mass on a CT scan without changes in F-FDG uptake on PET imaging. Familiarity with CT appearances and F-FDG uptake of EFD are important for correct interpretation of F-FDG PET-CT studies.
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Martin SP, Gariani J, Tabouret Viaud C. Unusual Presentation of Elastofibroma Dorsi on 18F-FDG-PET/CT: A Case Report. Medicine (Baltimore) 2016; 95:e2832. [PMID: 26886641 PMCID: PMC4998641 DOI: 10.1097/md.0000000000002832] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
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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Affiliation(s)
- Steve P Martin
- From the Department of Imaging and Medical Information Sciences, Radiology (SPM, JG); and Department of Imaging and Medical Information Sciences, Nuclear Medicine (CTV), Geneva University Hospital, Geneva, Switzerland
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Fang N, Wang YL, Zeng L, Wu ZJ, Cui XJ, Wang Q, Gao S, Ding W. Characteristics of elastofibroma dorsi on PET/CT imaging with 18F-FDG. Clin Imaging 2016; 40:110-3. [DOI: 10.1016/j.clinimag.2015.08.009] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2015] [Revised: 07/27/2015] [Accepted: 08/12/2015] [Indexed: 10/23/2022]
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Ben Abdelghani K, Slouma M, Chekili S, Laatar A, Zakraoui L. An unusual cause of shoulder pain. INDIAN JOURNAL OF RHEUMATOLOGY 2015. [DOI: 10.1016/j.injr.2014.11.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
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Erhamamci S, Reyhan M, Nursal GN, Torun N, Yapar AF, Findikcioglu A, Canpolat T. Elastofibroma dorsi incidentally detected by 18F-FDG PET/CT imaging. Ann Nucl Med 2015; 29:420-5. [DOI: 10.1007/s12149-015-0959-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2014] [Accepted: 02/06/2015] [Indexed: 10/24/2022]
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Nagano S, Yokouchi M, Setoyama T, Sasaki H, Shimada H, Kawamura I, Ishidou Y, Setoguchi T, Komiya S. Elastofibroma dorsi: Surgical indications and complications of a rare soft tissue tumor. Mol Clin Oncol 2014; 2:421-424. [PMID: 24772311 DOI: 10.3892/mco.2014.257] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2013] [Accepted: 01/31/2014] [Indexed: 11/05/2022] Open
Abstract
Elastofibroma dorsi (ED) is a tumor that develops in the space between the lower angle of the scapula and the posterior thoracic wall. Due to the rarity of this type of tumor, the number of reported consecutive series is limited. Surgical excision, usually recommended for symptomatic cases to confirm diagnosis and relieve symptoms, has been associated with a high complication rate. To analyze the clinical characteristics and outcomes of surgical treatment, we retrospectively reviewed 20 consecutive cases of surgically resected ED. Of the 20 patients, 14 (70%) exhibited preoperative symptoms associated with the tumor. The mean diameter of the resected tumors averaged 72 mm (range, 45-110 mm). The surgical outcomes were satisfactory, except for the development of hematoma or seroma in 9 cases (43%), 8 of which achieved a complete resolution with conservative treatment. Age, hypertension, the presence of preoperative tumor-related symptoms and intraoperative bleeding were not found to be significantly associated with the incidence of hematoma. However, tumor diameter and the duration of postoperative drainage were significantly associated with occurrence of hematoma (P=0.02 and P=0.01, respectively). Surgical resection should only be recommended for symptomatic patients, due to the high incidence of postoperative complications. To prevent the development of postoperative hematoma or seroma, careful observation of the wound, with suction drainage for >7 days and additional surgical procedures to facilitate adhesion of the wound margins, are recommended.
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Affiliation(s)
- Satoshi Nagano
- Departments of Orthopaedic Surgery, Kagoshima University, Kagoshima, Kagoshima 890-8520, Japan
| | - Masahiro Yokouchi
- Departments of Orthopaedic Surgery, Kagoshima University, Kagoshima, Kagoshima 890-8520, Japan
| | - Takashi Setoyama
- Departments of Orthopaedic Surgery, Kagoshima University, Kagoshima, Kagoshima 890-8520, Japan
| | - Hiromi Sasaki
- Departments of Orthopaedic Surgery, Kagoshima University, Kagoshima, Kagoshima 890-8520, Japan
| | - Hirofumi Shimada
- Departments of Orthopaedic Surgery, Kagoshima University, Kagoshima, Kagoshima 890-8520, Japan
| | - Ichiro Kawamura
- Departments of Orthopaedic Surgery, Kagoshima University, Kagoshima, Kagoshima 890-8520, Japan
| | - Yasuhiro Ishidou
- Medical Joint Materials, Kagoshima University, Kagoshima, Kagoshima 890-8520, Japan
| | - Takao Setoguchi
- The Near-Future Locomotor Organ Medicine Creation Course (Kusunoki Kai), Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Kagoshima 890-8520, Japan
| | - Setsuro Komiya
- Departments of Orthopaedic Surgery, Kagoshima University, Kagoshima, Kagoshima 890-8520, Japan
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Lococo F, Cesario A, de Franco S, Ricchetti T, Sgarbi G, Treglia G. Is 18FDG PET/CT evaluation really useful in the diagnosis of elastofibroma dorsi? Rev Esp Med Nucl Imagen Mol 2014. [DOI: 10.1016/j.remnie.2014.01.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Lococo F, Cesario A, de Franco S, Ricchetti T, Sgarbi G, Treglia G. Is 18FDG PET/CT evaluation really useful in the diagnosis of elastofibroma dorsi? Rev Esp Med Nucl Imagen Mol 2013; 33:62. [PMID: 24360600 DOI: 10.1016/j.remn.2013.09.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2013] [Accepted: 09/13/2013] [Indexed: 11/25/2022]
Affiliation(s)
- F Lococo
- Unit of Thoracic Surgery, IRCCS-Arcispedale Santa Maria Nuova, Reggio Emilia, Italy.
| | - A Cesario
- Deputy Scientific Director, IRCCS San Raffaele Pisana, Rome, Italy
| | - S de Franco
- Unit of Thoracic Surgery, IRCCS-Arcispedale Santa Maria Nuova, Reggio Emilia, Italy
| | - T Ricchetti
- Unit of Thoracic Surgery, IRCCS-Arcispedale Santa Maria Nuova, Reggio Emilia, Italy
| | - G Sgarbi
- Unit of Thoracic Surgery, IRCCS-Arcispedale Santa Maria Nuova, Reggio Emilia, Italy
| | - G Treglia
- Department of Nuclear Medicine and PET Center, Oncology Institute of Southern Switzerland, Bellinzona, Switzerland
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Haddan A, Zouaidia F, Masmoudi S, Moumni A, Mouanis M, Jahid A, Bernoussi Z, Mahassini N. [Dorsal elastofibroma: retrospective study of 21 cases and review of literature]. Pan Afr Med J 2013; 16:52. [PMID: 24672623 PMCID: PMC3964008 DOI: 10.11604/pamj.2013.16.52.2385] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2013] [Accepted: 07/12/2013] [Indexed: 11/13/2022] Open
Abstract
L’élastofibrome est une tumeur bénigne du tissu mou survient essentiellement chez les personnes âgées de plus de 55 ans avec une prédominance féminine. Il survient électivement à l'angle caudal de la scapula (99%). Il est bilatéral dans 10% à 66% des cas. L'etiopathogenie de l'EF reste encore non élucidée. Il s'agissait d'une étude rétrospective au niveau du laboratoire d'anatomie pathologique d'Ibn sina de Rabat durant une période de cinq ans (2007- 2011), concernant 21 cas d'EF. Toutes ces lésions ont été diagnostiquées après coloration standard à l'HE et à partir des dossiers médicaux des patients, nous avons recueilli leurs données cliniques, radiologiques, leur prise en charge thérapeutique et leur suivi. Quizze des patients étaient de sexe féminin, 6 cas étaient de sexe masculin. Au moment du traitement l’âge moyen était de 57,6 ans. Chez 10 patients, la localisation de la tumeur était du côté droit, 6 cas du côté gauche et bilatérale chez 5 patients. La plupart des patients étaient asymptomatiques. La taille des tumeurs variait entre 5 et 14 cm de grand axe. En IRM, leur aspect était caractéristique et l’étude anatomo-pathologique avait confirmé le diagnostic chez tous les patients. L'elastofibrome est le diagnostic le plus probable quand il s'agit d'une localisation infra-scapulaire d'une masse du tissu mou. L'IRM est l'examen clé du diagnostic. Une éventuelle biopsie permettra d'exclure un processus tumoral malin et rassurer les patients asymptomatiques qu'aucun traitement chirurgical n'est nécessaire.
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Affiliation(s)
- Azzouz Haddan
- Laboratoire d'anatomie pathologique, hôpital Ibn Sina, Rabat, Maroc
| | - Fouad Zouaidia
- Laboratoire d'anatomie pathologique, hôpital Ibn Sina, Rabat, Maroc
| | - Siham Masmoudi
- Laboratoire d'anatomie pathologique, hôpital Ibn Sina, Rabat, Maroc
| | | | - Mohammed Mouanis
- Laboratoire d'anatomie pathologique, hôpital Ibn Sina, Rabat, Maroc
| | - Ahmed Jahid
- Laboratoire d'anatomie pathologique, hôpital Ibn Sina, Rabat, Maroc
| | - Zakia Bernoussi
- Laboratoire d'anatomie pathologique, hôpital Ibn Sina, Rabat, Maroc
| | - Najat Mahassini
- Laboratoire d'anatomie pathologique, hôpital Ibn Sina, Rabat, Maroc
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Abat F, Álvarez C, Trullols L, Peiró A, Bagué S, Gracia I. [Elastofibroma dorsi: a 7-year follow-up of 37 cases and a review of the literature]. Rev Esp Cir Ortop Traumatol (Engl Ed) 2013; 56:295-9. [PMID: 23594848 DOI: 10.1016/j.recot.2012.03.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2012] [Revised: 03/14/2012] [Accepted: 03/19/2012] [Indexed: 10/28/2022] Open
Abstract
BACKGROUND Elastofibroma dorsi (ED) is an infrequent benign, slow growing, soft tissue tumour that is usually located in the scapular zone. MATERIAL AND METHODS A series of 37 ED patients diagnosed and treated in our hospital between August 1993 and November 2009 were retrospectively reviewed. The average follow up was 7 years. Ten of them presented bilaterally. The male/female ratio was 4:3, and the mean age was 57 years. An MRI was performed, and the diagnosis confirmed by histopathology. Seven cases were treated conservatively. The clinical results were evaluated using a visual analogue score (VAS) for pain and a comparison of the range of movement during follow up. RESULTS Some 18% of the patients worked or practiced sports that called for the use of the affected limb. The 40% of the patients required a post-operative transfusion was required by 40% of the patients, due to having a haemoglobin <8 g/d. The VAS improved from 6 to 2 after the surgery. The range of movement improved on an average of 40. The complications included an infection, 1 hyperalgesic scar, 8 haematomas and 3 seromas, which were resolved in the follow up without incidence. All the patients were free of illness after a mean follow-up of 85 months. CONCLUSIONS Good results were achieved with a long follow-up. Based on these results and a literature review of the current state of this pathology, an algorithm for its diagnosis and treatment is suggested.
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Affiliation(s)
- F Abat
- Servicio de Cirugía Oncológica y Traumatología, Hospital de la Santa Creu y Sant Pau, Universidad Autónoma de Barcelona, Barcelona, España.
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Painful elastofibroma dorsi: a report of a case and a brief review of the literature. Case Rep Orthop 2013; 2013:794247. [PMID: 23401824 PMCID: PMC3557630 DOI: 10.1155/2013/794247] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2012] [Accepted: 12/27/2012] [Indexed: 11/17/2022] Open
Abstract
Elastofibroma dorsi (ED) is an uncommon, slow-growing, benign, soft tissue tumor of unclear pathogenesis, typically located at the subscapular region of elderly people. It may be unilateral or bilateral. Though many patients are asymptomatic, ED can cause local deformity and symptoms such as periscapular pain or discomfort. Herein we report a case of a 65-year-old woman with painful ED. Clinical features, radiodiagnostic, intraoperative, and pathologic findings, and a brief review of the literature are performed.
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Gámez Cenzano C, Sabaté Llobera A, Narváez García JA, Rodríguez Bel L, García del Muro FJ. [Positron emission tomography-computed tomography in tumors of the locomotor apparatus]. RADIOLOGIA 2012; 54 Suppl 1:3-13. [PMID: 22959330 DOI: 10.1016/j.rx.2012.07.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2012] [Revised: 06/26/2012] [Accepted: 07/09/2012] [Indexed: 12/23/2022]
Abstract
Positron emission tomography/computed tomography (PET/CT) is a hybrid imaging technique that combines the anatomic information from CT with the metabolic information acquired from PET after the administration of specific radiotracers, the most commonly used of which is F18-fluorodeoxyglucose (FDG). In oncology, this technique is based on the increased uptake of FDG by malignant lesions. In the locomotor apparatus, some uptake by bones and soft tissues is physiological or benign and this uptake must be differentiated from uptake by malignancies, whether primary or secondary. The most important limitations are active inflammatory or infectious processes, which are positive on PET images, and malignant lesions that are smaller than 1cm, cystic, necrotic, or low-grade, which are negative on PET images. PET/CT in the locomotor apparatus is especially useful for the detection of metastases from the most common tumors. It is also used for staging and monitoring the response to treatment of some hematological tumors like lymphoma, where it is fundamental to determine whether the bone marrow has been infiltrated, or myeloma. Lastly, although it is not yet an established indication, PET/CT is being increasingly used to study sarcomas, because it can provide additional information that can be useful for the characterization and grading of tumors, for guiding biopsies, for staging and re-staging, and for evaluating the response to neoadjuvant therapy as well as for evaluating new drugs in clinical trials.
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Affiliation(s)
- C Gámez Cenzano
- Unidad PET-IDI, Hospital Universitario de Bellvitge-IDIBELL, L'Hospitalet de Llobregat, Barcelona, España.
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Abat F, Álvarez C, Trullols L, Peiró A, Bagué S, Gracia I. Elastofibroma dorsi: A 7-year follow-up of 37 cases and a review of the literature. Rev Esp Cir Ortop Traumatol (Engl Ed) 2012. [DOI: 10.1016/j.recote.2012.06.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
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Hochhegger B, Marchiori E, Soares Souza L. MR Diffusion in Elastofibroma Dorsi. Arch Bronconeumol 2011; 47:535-6; author reply pg 536. [PMID: 21798653 DOI: 10.1016/j.arbres.2011.06.006] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2011] [Accepted: 06/02/2011] [Indexed: 11/30/2022]
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