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Cureus 2022 Apr 7;14(4):x51. Epub 2022 Apr 7.

College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU.

Acta Radiol Open 2022 Mar 30;11(3):20584601221080514. Epub 2022 Mar 30.

Department of Radiology, Shimane University, Izumo, Japan.

Elastofibroma dorsi is a well-known benign chest wall tumor. Herein, we present a case in which an elastofibroma protruded into the thoracic cavity, leading to inverted intercostal hernia. Imaging revealed a soft tissue mass containing fat, typical of elastofibroma dorsi; however, precise diagnosis was difficult owing to the location of this mass that protruded into the thoracic cavity. Read More

Clin Case Rep 2022 Feb 14;10(2):e05413. Epub 2022 Feb 14.

Tunis Faculty of Medicine University of Tunis El Manar Tunis Tunisia.

Elastofibroma dorsi is an uncommon benign soft-tissue tumor with uncertain pathogenesis (Medicina (Kaunas), 2021; 57, 370). Surgical excision is the therapeutic option for symptomatic patients. A pathological study confirms the diagnosis after surgery. Read More

Cureus 2022 Jan 17;14(1):e21315. Epub 2022 Jan 17.

College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, SAU.

Elastofibroma is a benign soft tumor that is composed of elastic fibers in a background of collagenous and adipose tissue. However, the presence of multiple elastofibromas is considered a rare occasion. We report the case of a 39-year-old man who presented to our general practice clinic with a complaint of upper back swelling for the last three months. Read More

Plast Reconstr Surg Glob Open 2022 Feb 4;10(2):e4090. Epub 2022 Feb 4.

Clinica Cavadas. Reconstructive Surgery, Valencia, Spain.

In existing literature about elastofibroma dorsi (ED), no cases reported ED arising after latissimus dorsi flap harvest. Concretely, we present a patient who developed an ED at latissimus dorsi free flap donor site 10 years after harvesting. After our research, we found the occurrence of ED after thoracotomy surgery, stressing the importance of previous local trauma. Read More

Saudi Med J 2022 Feb;43(2):156-160

From the Medical Imaging Administration, Musculoskeletal Imaging Department (AlAwaji, Banuones), King Fahad Medical City, Riyadh; and From the Radiology and Medical Imaging Department (Alsaadi), College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz Alkharj, Kingdom of Saudi Arabia.

Objectives: To determine the prevalence and demographic data regarding incidentally encountered elastofibroma dorsi (EFD) in the Saudi population-based on chest CT (computed tomography) scans.

Methods: This retrospective study was carried out on 4,435 chest CT examinations that were collected between January 2014 and December 2016 in Riyadh, Saudi Arabia. One musculoskeletal radiologist who was unaware of the patients' clinical presentations or reasons for CT study reviewed the 4,435 chest CTs prospectively, searching for soft tissue tumors in the subscapular region. Read More

Rev Med Interne 2021 Nov 26;42(11):807-808. Epub 2021 May 26.

Département de radiologie, institut national d'oncologie, université Mohamed V, Rabat, Maroc.

Anticancer Res 2021 May;41(5):2211-2215

Department of Orthopaedic Surgery, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.

Elastofibroma dorsi is an uncommon benign fibroblastic pseudotumor that typically occurs in the subscapular region of middle-aged or older individuals. The pathogenesis is still unclear and a matter of debate. Magnetic resonance imaging can be used as a first-line investigation of the lesion and reveals a lenticular soft-tissue mass with a signal intensity similar to that of skeletal muscle interlaced with strands of fat. Read More

Medicina (Kaunas) 2021 Apr 12;57(4). Epub 2021 Apr 12.

First Department of Surgery, Second Discipline of Surgical Semiology, "Victor Babeș" University of Medicine and Pharmacy, Eftimie Murgu Sq. Nr.2, 300041 Timișoara, Romania.

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. Read More

Physiother Theory Pract 2021 Apr 29:1-11. Epub 2021 Apr 29.

Department of Neurosciences, Rehabilitation, Ophthalmology, Genetic and Maternal Infantile Sciences (DINOGMI), University of Genova-Campus of Savona, Savona, Italy.

Elastofibroma is a benign and rare fibroblast/myofibroblast tumor usually located near the periosteum of the ribs. Patients with elastofibroma can remain asymptomatic or can experience a clicking sensation during shoulder movements, shoulder stiffness, scapular and shoulder pain and dysfunction. Importantly, the symptoms can mimic a musculoskeletal condition being mistaken for orthopedic shoulder joint disease. Read More

Rom J Morphol Embryol 2020 Jul-Sep;61(3):841-851

Department of Medical and Surgical Sciences, University of Cantabria, Santander, Spain;

Abdominal elastotic deposits are uncommon lesions that often presents as polyps. They show three histological patterns: fibroelastosis, angioelastosis, and elastofibroma. We describe 23 cases including rare locations, such as mesentery, greater omentum, hernia sac, spleen, peripancreatic fat, and hypodermal fat. Read More

Skin Appendage Disord 2021 Jan 26;7(1):50-53. Epub 2020 Oct 26.

Department of Dermatology, Inselspital, University of Berne, Bern, Switzerland.

Cutaneous elastofibroma is part of the connective tissue nevus complex. Two subungual cases remotely similar to the one presented here have been described before. This patient presented with an unusual form of subungual elastofibroma of the big toe, which was surgically removed. Read More

Biotech Histochem 2021 Nov 19;96(8):608-615. Epub 2021 Feb 19.

Department of Morphology, Federal University of Rio Grande Do Norte, Natal, RN, Brazil.

We investigated elastofibromas (EF) and elastofibroma-like structures (EFL) in 95 cases that had been diagnosed as oral fibromas (OF). Histological sections were stained with Verhoeff-Van Gieson, Congo red and hematoxylin and eosin to enable possible reclassification to EF or EFL, or to retain the diagnosis of OF. To do this, we identified amyloid and used histopathological descriptions and epidemiological clinical profiles. Read More

ANZ J Surg 2020 Dec 1. Epub 2020 Dec 1.

Department of General Surgery, Gulhane Training and Research Hospital, University of Health Sciences, Ankara, Turkey.

Background: Elastofibroma dorsi (ED) is a benign soft tissue tumour of the subscapular region of the chest wall. It is a frequent lesion, especially seen in females and in the elderly. It remains unclear whether the size or symptomatology of the tumour is important to make a resection decision. Read More

BJR Case Rep 2020 Sep 29;6(2):20190112. Epub 2020 Sep 29.

Department of Radiology, NYU LangoneMedical Center, New York, United States.

Thus far, only a single case describing an atypical appearance of elastofibroma dorsi at a prior thoracotomy site has been published in the literature. We describe a series of three cases recently imaged at our institution with the same atypical appearance, in order to highlight and increase recognition of this more unusual morphology in post-operative patients. Read More

Jt Dis Relat Surg 2020 ;31(3):644-647

Başkent Üniversitesi Tıp Fakültesi Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, 06490 Bahçelievler, Ankara, Türkiye.

Elastofibroma dorsi (ED) is a rare, benign soft tissue tumor which often occurs in the subscapular region of elderly individuals and shows a female predominance. While many patients remain asymptomatic, ED can cause pain in the periscapular region. The clinical signs of ED are non-specific and variable which can result in misdiagnoses; it is often confused with rotator cuff and cervical spine pathologies. Read More

Orthop Rev (Pavia) 2020 Jun 1;12(Suppl 1):8708. Epub 2020 Jul 1.

Department of Orthopedics and Traumatology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome.

Elastofibroma dorsi is a rare slowgrowing soft tissues tumor. The lesion usually grows near the shoulder but could also involve other location. Pathogenesis of elastofibroma dorsi is still unknown and in the literature, there are mostly described case report or case series. Read More

Mayo Clin Proc 2020 08;95(8):1709

Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, CA.

Clin Nucl Med 2021 Feb;46(2):e86-e87

From the Ahmanson Translational Theranostics Division, Department of Molecular and Medical Pharmacology.

Abstract: A 71-year-old man underwent 18F-FDG and 68Ga-FAPI-46 PET/CT for initial staging prior to surgery of a squamous cell carcinoma of the lower esophagus under the prospective study NCT04147494. Both scans showed increased uptake in the mid and distal esophagus without evidence of metastatic disease. A soft tissue right infrascapular mass with mild 18F-FDG and moderate 68Ga-FAPI-46 uptake was incidentally found. Read More

J Thorac Dis 2020 May;12(5):1884-1894

Thoracic Surgery Unit, University Hospital of Modena, Modena, Italy.

Background: Elastofibroma dorsi (ED) is a benign soft-tissue tumor of the chest wall located near the tip of the scapula. Clinical presentation includes swelling, pain and impairment of shoulder movements. The present literature relies only on few small case series. Read More

Eplasty 2020 26;20:ic8. Epub 2020 Apr 26.

Rutgers New Jersey Medical School, Newark.

J Gastrointest Cancer 2020 Sep;51(3):1074-1076

Department of Emergency and Organ Transplantation Section of Gastroenterology, University of Bari, Piazza Giulio Cesare 11, 70124, Bari, Italy.

Sisli Etfal Hastan Tip Bul 2020 25;54(1):103-107. Epub 2020 Mar 25.

Department of Thoracic Surgery, Kocaeli University Faculty of Medicine, Kocaeli, Turkey.

Elastofibroma dorsi is a benign lesion commonly presents as a palpable enlarging mass at the inferior pole of the scapula. Clinical presentation and radiological characteristics are often enough to suggest an accurate diagnosis. Increased awareness of the characteristic appearance and location of these benign lesions will increase radiologic diagnosis and decrease the need for biopsy. Read More

J Foot Ankle Surg 2020 May - Jun;59(3):587-589

Residency Director and Chief of Podiatry, Trinitas Regional Medical Center, Elizabeth, NJ.

An elastofibroma is a rare, benign, slow-growing, progressive soft tissue neoplasm with distinct histopathological features consisting of collagen and coarse elastic fibers. When it occurs, it has a propensity for the subscapular region in elderly female patients. It can occur less commonly at other anatomical sites, and its exact etiology is unclear. Read More

Magn Reson Imaging Clin N Am 2020 May;28(2):301-316

Department of Radiology, University of California San Diego, School of Medicine, UCSD Teleradiology and Education Center, 408 Dickinson Street, Mail Code #8226, San Diego, CA 92103-8226, USA.

This article discusses the most common tumor and tumor-like lesions arising at the shoulder. Osseous tumors of the shoulder rank second in incidence to those at the knee joint and include benign osteochondromas and myeloma or primary malignant lesions, such as osteosarcoma or chondrosarcomas. Soft tissue tumors are overwhelmingly benign, with lipomas predominating, although malignant lesions, such as liposarcomas, can occur. Read More

Cureus 2020 Feb 4;12(2):e6874. Epub 2020 Feb 4.

Internal Medicine, Marshall University, Joan C. Edwards School of Medicine, Huntington, USA.

Elastofibroma dorsi (ED) is a benign connective tissue tumor that most commonly occurs on the inferior pole of the scapula. It can be found incidentally on radiologic imaging or due to clinical symptoms. Patients may become apprehensive due to it mimicking new malignancy or recurrence of prior malignancy. Read More

Monaldi Arch Chest Dis 2020 Jan 21;90(1). Epub 2020 Jan 21.

Faculty of Medicine, Charles University in Prague, Pilsen.

Elastofibroma is a rare benign, soft-tissue slow-growing tumor seen predominantly in elderly females. We present such a case in a 46-year-old female. She presented with gradually increasing soft tissue swelling of 8×6 cm in the right inferior subscapular region. Read More

BMC Musculoskelet Disord 2020 Jan 8;21(1):16. Epub 2020 Jan 8.

Department of Radiology, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Al-Khobar, Saudi Arabia.

Background: Elastofibroma is a benign soft tissue tumor characterized by the presence of elastic fibers in a stroma of collagen and mature adipose tissue. It is reported to have a prevalence of 2.73%, as shown by a study through computed tomography (CT) images. Read More

Turk J Phys Med Rehabil 2019 Sep 20;65(3):287-289. Epub 2019 Aug 20.

Department of Physical Therapy and Rehabilitation, Istanbul Medeniyet University Goztepe Training and Research Hospital, Istanbul, Turkey.

A 61-year-old woman presented with localized back pain at the left inferomedial border of the scapula and left shoulder pain. On physical examination, a soft tissue mass was detected on the left scapula. Magnetic resonance imaging showed a mass at the left suprascapular region and another mass in the left infrascapular region. Read More

Korean J Radiol 2019 10;20(10):1441-1453

Department of Radiology, Jewish General Hospital, Montreal, Canada.

Identification of certain abnormalities of the chest wall can be extremely helpful in correctly diagnosing a number of syndromic conditions and systemic diseases. Additionally, chest wall abnormalities may sometimes constitute diagnoses by themselves. In the present pictorial essay, we review a number of such conditions and provide illustrative cases that were retrospectively identified from our clinical imaging database. Read More