Elastofibroma dorsi: Case report and literature review
de Rungs-Brown, David R; Mier-Odriozola, José Manuel; Baldin-Andre, Víctor; de la Peña-Salcedo, José Abel; Balanzá-López, Ricardo
2015, Number 2
2015; 74 (2)
ABSTRACT
The elastofibromas are a rare type of slow-growing benign tumor arising from soft tissue. 99% of them occur in subscapular region due to continuous trauma. It usually presents with a well-defined, well-circumscribed tumor immobile in which it does not adhere to the overlying skin, if not subaponeurotic muscle and tissue. The elastofibroma dorsi manifests generally moderate and progressive movement in abduction and adduction of the shoulder gnawing pain affected limb. The study involved a male patient of 60 years old, who was diagnosed histopathologically as a dorsi elastofibroma. The patient showed a soft tissue mass in the dorsal region and functional impairment. On physical examination, an adjacent sub scapular mass was palpable. The patient was scanned with ultrasound, radiography, electrocardiography, computed tomography and magnetic resonance imaging. An analysis of the case with the diagnosis and treatment as well as a report of the literature was performed. The elastofibromas dorsi, is described as connective tissue tumor wich can be diagnosed with greater sensitivity with MRI and with lower specificity CT. In benign tumors surgery is the method of choice; is likewise in dorsi elastofibroma having immediate clinical improvement.
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