Elastofibroma dorsi management and outcomes: review of 16 cases

• Published in: Interactive cardiovascular and thoracic surgery Vol. 18; no. 2; pp. 197 - 201
• Main Authors: Karakurt, Ozgur, Kaplan, Tevfik, Gunal, Nesimi, Gulbahar, Gultekin, Kocer, Bulent, Han, Serdar, Dural, Koray, Sakinci, Unal
• Format: Journal Article
• Language: English
• Published: England Oxford University Press 01.02.2014
• Subjects: Adult; Aged; Female; Fibroma - pathology; Fibroma - surgery; Humans; Length of Stay; Male; Middle Aged; Neoplasm Recurrence, Local; Original; Retrospective Studies; Scapula; Soft Tissue Neoplasms - pathology; Soft Tissue Neoplasms - surgery; Thoracic Neoplasms - pathology; Thoracic Neoplasms - surgery; Thoracic Surgical Procedures - adverse effects; Time Factors; Tomography, X-Ray Computed; Treatment Outcome; Tumor Burden; Benign tumour; Treatment; Chest wall; Outcomes
• ISSN: 1569-9293; 1569-9285
• DOI: 10.1093/icvts/ivt442

OBJECTIVES Elastofibroma dorsi (ED) is a rare, benign lesion arising from connective tissue, usually found at the inferior pole of the scapula. To date, only a few small series have been reported in the English literature and there are few data about the long-term outcomes after surgery. Our goal is to contribute a better understanding of this tumour and to determine the long-term outcomes after surgery. METHODS Sixteen patients with a diagnosis of ED were identified from the unit's database. The clinical presentation, diagnosis, pathological evidences and long-term outcomes were evaluated. RESULTS There were 11 females and 5 males with a mean age of 61.1 years (range 38-78 years). The tumour was located on the right in 5 (31.2%) patients, on the left in 6 (37.5%) patients and bilaterally in 5 (31.2%). Six patients had painful scapular swelling resulting in restriction of movement of the shoulder whereas 10 reported only painful scapular mass. All 16 patients underwent complete resections. The tumour size ranged from 3 to 15 cm. The mean hospital stay was 3.1 ± 1.4 days with a morbidity of 18.75% (seroma observed in 3 patients). The mean follow-up was 58.4 ± 29.5 months (range 11-92 months). In 2 patients (12.5%) a new occurrence on the contralateral side was observed at the follow-up. CONCLUSIONS Elastofibroma dorsi is a rare, ill-defined, pseudotumoural lesion of the soft tissues. Surgical treatment can be proposed if the lesion is symptomatic. Furthermore, at the follow-up, the possibility of new occurrences on the contralateral side should be kept in mind.