Elastofibroma dorsi: case series of a rare benign tumour of the back
We analyse this rare pseudotumour with few case reports in the orthopaedic literature. Elastofibroma dorsi is an uncommon benign soft tissue pseudotumour usually located at the lower pole of the scapula. This study is a clinical assessment of 5 patients. All the patients had their diagnosis based on...
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| Published in | European journal of orthopaedic surgery & traumatology Vol. 23; no. 6; pp. 643 - 645 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Paris
Springer Paris
01.08.2013
Springer Nature B.V |
| Subjects | |
| Online Access | Get full text |
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| Abstract | We analyse this rare pseudotumour with few case reports in the orthopaedic literature. Elastofibroma dorsi is an uncommon benign soft tissue pseudotumour usually located at the lower pole of the scapula. This study is a clinical assessment of 5 patients. All the patients had their diagnosis based on clinical and MRI findings and had excision biopsy. The patients were followed for a mean period of 24 months. No patient had residual symptoms. We have only one recurrence. Surgical excision is recommended when it causes functional disability, compression symptoms, an asymmetric outline of the chest wall, or when it is more than 5 cm in diameter. Pre-operative tissue diagnosis is not necessary in most cases. Despite its rarity, the elastofibroma dorsi should always be suspected with the emergence of a swelling in the subscapularis, especially in females and in old age. |
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| AbstractList | We analyse this rare pseudotumour with few case reports in the orthopaedic literature. Elastofibroma dorsi is an uncommon benign soft tissue pseudotumour usually located at the lower pole of the scapula. This study is a clinical assessment of 5 patients. All the patients had their diagnosis based on clinical and MRI findings and had excision biopsy. The patients were followed for a mean period of 24 months. No patient had residual symptoms. We have only one recurrence. Surgical excision is recommended when it causes functional disability, compression symptoms, an asymmetric outline of the chest wall, or when it is more than 5 cm in diameter. Pre-operative tissue diagnosis is not necessary in most cases. Despite its rarity, the elastofibroma dorsi should always be suspected with the emergence of a swelling in the subscapularis, especially in females and in old age. We analyse this rare pseudotumour with few case reports in the orthopaedic literature. Elastofibroma dorsi is an uncommon benign soft tissue pseudotumour usually located at the lower pole of the scapula. This study is a clinical assessment of 5 patients. All the patients had their diagnosis based on clinical and MRI findings and had excision biopsy. The patients were followed for a mean period of 24 months. No patient had residual symptoms. We have only one recurrence. Surgical excision is recommended when it causes functional disability, compression symptoms, an asymmetric outline of the chest wall, or when it is more than 5 cm in diameter. Pre-operative tissue diagnosis is not necessary in most cases. Despite its rarity, the elastofibroma dorsi should always be suspected with the emergence of a swelling in the subscapularis, especially in females and in old age. |
| Author | Bottai, V. Dell’osso, G. Giannotti, S. Bugelli, G. Guido, G. Cazzella, N. |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/23412196$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1016/S1010-7940(02)00475-X 10.1002/1097-0142(19821101)50:9<1794::AID-CNCR2820500925>3.0.CO;2-L 10.1007/PL00010063 10.1136/ard.61.3.278 10.1016/S0748-7983(96)91781-3 10.1097/00003086-200107000-00027 10.2214/ajr.167.3.8751681 10.1302/0301-620X.92B2.22927 10.1155/2008/756565 10.1302/0301-620X.69B3.3584204 |
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| Keywords | Soft tissue Trunck Scapula Tumour Surgery Scapular winging |
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| References_xml | – volume: 22 start-page: 839 year: 2002 end-page: 841 ident: CR5 article-title: Bilateral elastofibroma dorsi: proper positioning for an acute diagnosis publication-title: Eur J Cardiothorac Surg doi: 10.1016/S1010-7940(02)00475-X contributor: fullname: Atasoy – volume: 69-B start-page: 468 issue: 3 year: 1987 end-page: 469 ident: CR4 article-title: Elastofibroma of the hand publication-title: J Bone Joint Surg contributor: fullname: Simpson – volume: 50 start-page: 1794 year: 1982 end-page: 1805 ident: CR8 article-title: Elastofibroma in okinawa. A clinicopathologic study of 170 cases publication-title: Cancer doi: 10.1002/1097-0142(19821101)50:9<1794::AID-CNCR2820500925>3.0.CO;2-L contributor: fullname: Ito – volume: 30 start-page: 147 year: 2000 end-page: 152 ident: CR1 article-title: Elastofibroma dorsi publication-title: Surg Today doi: 10.1007/PL00010063 contributor: fullname: Bertoni – volume: 92 start-page: 262 issue: 2 year: 2010 end-page: 266 ident: CR10 article-title: Elastofibroma dorsi: management, outcome and review of the literature publication-title: J Bone Joint Surg Br contributor: fullname: Briggs – volume: 61 start-page: 278 year: 2002 end-page: 279 ident: CR11 article-title: Elastofibroma dorsi publication-title: Ann Rheum Dis doi: 10.1136/ard.61.3.278 contributor: fullname: Bhanji – ident: CR2 – volume: 22 start-page: 93 year: 1996 end-page: 96 ident: CR3 article-title: Elastofibroma and preelastofibroma—a biopsy and autopsy study publication-title: Eur J Surg Oncol doi: 10.1016/S0748-7983(96)91781-3 contributor: fullname: Vogel – volume: 388 start-page: 200 year: 2001 end-page: 204 ident: CR6 article-title: Elastofibroma dorsi as a cause of shoulder pain or snapping scapula publication-title: Clin Orthop Relat Res doi: 10.1097/00003086-200107000-00027 contributor: fullname: Guix – volume: 167 start-page: 683 issue: 3 year: 1996 end-page: 687 ident: CR9 article-title: Elastofibroma dorsi: radiologic findings in 12 patients publication-title: Am J Roentgenol doi: 10.2214/ajr.167.3.8751681 contributor: fullname: Mcleod – volume: 17 start-page: 32 issue: 1 year: 2004 end-page: 34 ident: CR7 article-title: Bilateral elastofibroma dorsi: a rare soft tissue tumor publication-title: Turkeymarmara Med J contributor: fullname: Yüksel – volume: 22 start-page: 93 year: 1996 ident: 1064_CR3 publication-title: Eur J Surg Oncol doi: 10.1016/S0748-7983(96)91781-3 contributor: fullname: Gd Giebel – volume: 167 start-page: 683 issue: 3 year: 1996 ident: 1064_CR9 publication-title: Am J Roentgenol doi: 10.2214/ajr.167.3.8751681 contributor: fullname: MF Naylor – volume: 92 start-page: 262 issue: 2 year: 2010 ident: 1064_CR10 publication-title: J Bone Joint Surg Br doi: 10.1302/0301-620X.92B2.22927 contributor: fullname: MT Parratt – volume: 30 start-page: 147 year: 2000 ident: 1064_CR1 publication-title: Surg Today doi: 10.1007/PL00010063 contributor: fullname: A Briccoli – ident: 1064_CR2 doi: 10.1155/2008/756565 – volume: 388 start-page: 200 year: 2001 ident: 1064_CR6 publication-title: Clin Orthop Relat Res doi: 10.1097/00003086-200107000-00027 contributor: fullname: J Majo – volume: 22 start-page: 839 year: 2002 ident: 1064_CR5 publication-title: Eur J Cardiothorac Surg doi: 10.1016/S1010-7940(02)00475-X contributor: fullname: M Kara – volume: 69-B start-page: 468 issue: 3 year: 1987 ident: 1064_CR4 publication-title: J Bone Joint Surg doi: 10.1302/0301-620X.69B3.3584204 contributor: fullname: PD Kapff – volume: 61 start-page: 278 year: 2002 ident: 1064_CR11 publication-title: Ann Rheum Dis doi: 10.1136/ard.61.3.278 contributor: fullname: D Pyne – volume: 50 start-page: 1794 year: 1982 ident: 1064_CR8 publication-title: Cancer doi: 10.1002/1097-0142(19821101)50:9<1794::AID-CNCR2820500925>3.0.CO;2-L contributor: fullname: N Nagamine – volume: 17 start-page: 32 issue: 1 year: 2004 ident: 1064_CR7 publication-title: Turkeymarmara Med J contributor: fullname: MO Özyurtkan |
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| SubjectTerms | Aged Female Fibroma - pathology Fibroma - surgery Humans Magnetic Resonance Imaging Medicine Medicine & Public Health Middle Aged Original Article Scapula - pathology Soft Tissue Neoplasms - pathology Soft Tissue Neoplasms - surgery Surgical Orthopedics Traumatic Surgery Treatment Outcome |
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| Title | Elastofibroma dorsi: case series of a rare benign tumour of the back |
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