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

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

Clin Nucl Med 2020 Jul 17. Epub 2020 Jul 17.

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

A 71-year-old man underwent F-FDG and Ga-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 F-FDG and moderate Ga-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

Acta Chir Belg 2019 Jul 16:1-5. Epub 2019 Jul 16.

a Abdominal, Pediatric and Reconstructive Surgery , University Hospital Antwerp , Edegem , Belgium.

: Elastofibroma dorsi (ED) is a benign slow growing soft tissue tumor that is most frequently located subscapular. The prevalence is estimated to be 2% on imaging studies in individuals over 60 years old and might occur bilaterally. The etiology, however, remains unclear. Read More

Indian J Nucl Med 2019 Jul-Sep;34(3):258-259

Department of Nuclear Medicine, All India Institute of Medical Sciences, New Delhi, India.

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 F 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. Read More

Ann R Coll Surg Engl 2020 Feb 24;102(2):84-93. Epub 2019 Jun 24.

Department of Pathology, First Hospital of Shanxi Medical University, Taiyuan, Shanxi Province, China.

Objective: Elastofibroma is a rare soft-tissue tumour. This study retrospectively analysed and summarised the clinical, imaging and typical pathological features, together with the short- and long-term surgical outcomes of patients with pathologically confirmed soft-tissue elastofibroma to improve their management.

Materials And Methods: We enrolled 73 patients with pathologically confirmed soft-tissue elastofibroma from January 2010 to December 2018. Read More

Case Rep Surg 2019 7;2019:2107083. Epub 2019 Apr 7.

Clinic for Thoracic Surgery, University Hospital Basel, Switzerland.

Several technical points for postoperative lung hernia repair are still not fully elucidated. We present an original technical solution to deal with this complication. In a 68-year-old female, the lung hernia was confirmed 5 months after the partial left-sided chest wall and scapula angle resection with primary Mersilene mesh reconstruction for elastofibroma. Read More

Acta Orthop Traumatol Turc 2019 May 25;53(3):195-198. Epub 2019 Apr 25.

Eskisehir Osmangazi University, Faculty of Medicine, Department of Radiology, Eskisehir, Turkey. Electronic address:

Objective: The aim of this study was to determine the prevalence, demographic data of elastofibroma dorsi (ED) in adult population who had undergone chest CT examination and to discuss clinical, and radiological presentations, and treatment options of ED.

Methods: We retrospectively reviewed 4074 chest CT examinations for ED from July 2014 to April 2015. Lesion size, side, and patient demographics were analyzed for positive cases of ED. Read More

Zhongguo Gu Shang 2019 Feb;32(2):170-172

Department of Orthopaedics, the First Affiliated Hospital of Soochow University, Suzhou 215006, Jiangsu, China;

J Clin Anesth 2019 09 8;56:108. Epub 2019 Feb 8.

Maltepe University Faculty of Medicine, Department of Medical Education, Istanbul, Turkey.

Am J Dermatopathol 2019 Feb;41(2):85-117

Department of Dermatology, Fundación Jiménez Díaz, Universidad Autónoma, Madrid, Spain.

After a review of the physiology in the formation and degradation of cutaneous elastic tissue, we describe the clinicopathologic disorders characterized by increased and decreased cutaneous elastic tissue. Cutaneous disorders characterized by increased and/or abnormal elastic tissue in the dermis include elastoma, also named nevus elasticus, dermatosis lenticularis disseminata, pseudoxanthoma elasticum, late-onset focal dermal elastosis, linear focal elastosis, elastoderma, elastofibroma dorsi, and elastosis perforans serpiginosa. In some of these conditions, the specific histopathologic diagnosis may be rendered with hematoxylin-eosin stain, whereas in other ones special elastic tissue stains are necessary to demonstrate the anomalies. Read More

Rev Esp Patol 2019 Jan - Mar;52(1):3-10. Epub 2018 May 22.

Departamento de Anatomía Patológica, Facultad de Medicina, Pontificia Universidad Católica de Chile , Santiago, Chile. Electronic address:

Introduction: Gastrointestinal elastofibromatous polyps are rare benign lesions. In 1985, Enjoji described elastofibromatous change of the stomach but since only isolated cases have been reported, with none in Spanish language journals. They present as single, usually asymptomatic, polypoid lesions, most frequently in the large intestine. Read More

Am J Gastroenterol 2019 01;114(1):12

Walter Reed National Military Medical Center, Gastroenterology, Bethesda, MD, USA.

Tunis Med 2018 Jan;96(1):64-67

Elastofibromas are rare benign soft tissue tumors that are commonly located at the inferior pole of the scapula, typically in the right side, deep to the serratus anterior muscle. They occur mainly in elderly women and are usually asymptomatic. We  present four cases of elastofibroma dorsi in which the clinical and ultrasound diagnosis was confirmed by CT and magnetic resonance imaging. Read More

J Dermatol 2019 Apr 28;46(4):e132-e133. Epub 2018 Sep 28.

Department of Dermato-Oncology/Dermatology, National Hospital Organization Kagoshima Medical Center, Kagoshima, Japan.

Kyobu Geka 2018 09;71(9):716-719

Department of Surgery, Jikei University Katsushika Medical Center, Tokyo, Japan.

Elastofibroma is a relatively rare tumor that occurs commonly at the apex of scapula in elderly people. We report a case of elastofibroma of a female in her seventies. She visited our hospital with complaints of painful mass in her back, which was increasing in size. Read More

J Clin Anesth 2019 02 29;52:34-35. Epub 2018 Aug 29.

Maltepe University Faculty of Medicine, Department of Anesthesiology and Reanimation, Turkey.

J Natl Med Assoc 2018 Oct 2;110(5):428-430. Epub 2017 Nov 2.

Department of Radiology, Ufuk University School of Medicine, Ankara, Turkey.

Elastofibroma dorsi is a reactive pseudotumor of connective tissue, typically located in the infrascapular region. Awareness of this benign entity is crucial for radiologists, as well as clinicians, to avoid misdiagnosis and potential patient harm. In this report, we present clinical and imaging findings of an elastofibroma dorsi after a thoracotomy procedure. Read More

G Ital Dermatol Venereol 2018 Jun;153(3):446-447

Department of Dermatology and Venerology, Central Teaching Hospital of Bolzano, Bolzano, Italy.

Clin Nucl Med 2018 May;43(5):e154-e155

From the Department of Radiology, University of Washington, Seattle, WA.

Sixty six-year-old woman status post ileocecal resection for well-differentiated neuroendocrine tumor in the terminal ileum 7 years ago, who is on octreotide therapy for liver metastases. Ga DOTATATE PET/CT showed soft tissue masses with mildly increased radiotracer uptake in the bilateral subscapular/infrascapular regions. In retrospective image review, these soft tissue masses were first noted 7 years prior and have gradually increased in size over the years. Read More

J Ultrason 2017 Dec 29;17(71):281-288. Epub 2017 Dec 29.

Self-education Sonography Group, Genetics Division, Pomeranian Medical University, Szczecin, Poland.

Chest wall neoplasms mainly include malignancies, metastatic in particular. Differential diagnosis should include clinical data; tumor location, extent, delineation; the degree of homogeneity; the presence of calcifications; the nature of bone destruction and the degree of vascularization. The aim of the paper is to present both the benefits and limitations of ultrasound for the diagnosis of chest wall neoplasms. Read More

Surg Case Rep 2017 Dec 6;3(1):121. Epub 2017 Dec 6.

Department of General Thoracic Surgery, Takamatsu Municipal Hospital, 2-36-1 Miyawakichou, Takamatsu, Kagawa, 760-8538, Japan.

In recent years, the number of cancer patients who undergo endoscopic surgery has been increasing, and port-site recurrence is becoming a more common complication. A 66-year-old woman underwent thoracoscopic left lower lobectomy with lymph node dissection for pT1aN0M0 adenocarcinoma of the lung. Six years after surgery, CT revealed a subscapular tumor measuring 3 cm at the site of the surgical port wound. Read More

Skeletal Radiol 2018 04 23;47(4):569-573. Epub 2017 Nov 23.

Department of Radiology, Vall d'Hebron University Hospital, Barcelona, Spain.

We report a case of triple elastofibromas located in the supra- and infrascapular regions. A 61-year-old female with a history of bilateral elastofibroma in the typical subscapular region (6 years before) was admitted for the evaluation of a left-sided suprascapular mass that she had first noted 3 months before. On physical examination, a firm, painless, mobile mass was palpated in the subcutaneous tissue. Read More

Pan Afr Med J 2017 14;28:34. Epub 2017 Sep 14.

Surgical Oncology Department 1, National Institute of Oncology, University Mohamed V Rabat, Morocco.

Elastofibroma dorsi (ED) is an uncommon benign soft tissue tumor with an uncertain pathogenesis. It mostly occurs in the infrascapular region of elderly people with a female predominance. Typically bilateral, ED can also be unilateral. Read More

Acta Radiol 2018 Jun 18;59(6):709-715. Epub 2017 Sep 18.

1 Department of Radiology, Graduate School of Medical Science, University of the Ryukyus, Okinawa, Japan.

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. Read More

Int J Surg Pathol 2018 Apr 1;26(2):161-164. Epub 2017 Sep 1.

1 University of Rochester Medical Center, Rochester, NY, USA.

We report 2 unusual elastotic lesions of intestinal subserosal fat. The first arose in the small bowel subserosa of a 64-year-old woman with volvulus. It was undetected macroscopically and consisted of a relatively circumscribed focus of elastosis, with essentially no evidence of fibrosis or blood vessel walls within. Read More

Arch Bronconeumol 2018 Feb 27;54(2):102. Epub 2017 Jul 27.

Servicio de Cirugía Torácica, Hospital Universitario Ramón y Cajal, Madrid, España.

Nucl Med Commun 2017 Sep;38(9):795-798

aDepartment of Urology, The James Buchanan Brady Urological Institute bThe Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

Objective: PET imaging using radiotracers that target prostate-specific membrane antigen (PSMA) are increasingly being used in the evaluation of men with prostate cancer (PCa). It is therefore of increasing importance for imaging specialists to recognize potential pitfalls of this novel imaging technique. In this report, we describe a series of benign elastofibroma dorsi with uptake of the PSMA-targeted PET radiotracer F-DCFPyL. Read More

Proc (Bayl Univ Med Cent) 2017 Jul;30(3):340-342

Department of Radiology, St. Vincent's Medical Center, Bridgeport, Connecticut (Goyal, Gandhi, S. Gupta, Olsavsky, N. Gupta); and the Department of Radiology, Yale New Haven Health at Bridgeport Hospital, Bridgeport, Connecticut (Li, Kumar, Olsavsky).

We present a 60-year-old man with biopsy-proven metastatic squamous cell carcinoma of the right inguinal and external iliac lymph nodes with unknown primary. Hypermetabolic soft tissue masses were identified in bilateral subscapular regions on follow-up positron emission tomography (PET)-computed tomography (CT) after completion of chemoradiation. The right subscapular mass was biopsied under CT guidance, and histopathology showed it to be elastofibroma dorsi. Read More

Eur Rev Med Pharmacol Sci 2017 05;21(9):2061-2068

Department of Radiological Sciences, Catholic University of the "Sacred Heart", Polyclinic Gemelli Foundation, School of Medicine, Rome, Italy.

Objective: We aim to present clinical features, imaging findings, treatment aspects of the elastofibroma dorsi (ED), which is a benign tumor arising from connective tissue at the scapular region, and long-term outcomes after surgical resection.

Patients And Methods: We evaluated retrospectively 82 patients (55 females, 27 males; mean age, 60 years; age range, 23-78 years) with ED who underwent surgery between January 1994 and May 2014; subsequently all patients were invited for follow-up, which consisted of physical and US examinations.

Results: Subscapular location was almost constant (79/82 patients). Read More

Rev Esp Med Nucl Imagen Mol 2018 Jan - Feb;37(1):46-49. Epub 2017 May 16.

Servicio de Medicina Nuclear, Hospital Universitario Son Espases, Palma de Mallorca, Islas Baleares, España; Instituto de Investigación Sanitaria de Palma, Palma de Mallorca, Islas Baleares, España.

Radioiodine uptake in the thyroid tissue, metastasis of differentiated thyroid cancer (DTC), and in other tissues, depends on the expression of sodium-iodide symporter (NIS). Vascular permeability, effusions, inflammation, and other mechanisms may also play a role in the accumulation of radioactive iodine. A 63-year-old woman underwent radioiodine therapy, as well as a post-therapy whole-body scan, as she was suspected of having lung metastasis from thyroid carcinoma. Read More

Ear Nose Throat J 2017 Apr-May;96(4-5):160

Department of Pathology, Southern California Permanente Medical Group, Woodland Hills Medical Center, Woodland Hills, CA, USA.

SICOT J 2017 5;3:34. Epub 2017 May 5.

Department of Radiology, University of California San Diego, 200 West Arbor Drive, Mail Code: 8756, San Diego, CA 92130, USA.

Lipomatous lesions are common musculoskeletal lesions that can arise within the soft tissues, bone, neurovascular structures, and synovium. The majority of these lesions are benign, and many of the benign lesions can be diagnosed by radiologic evaluation. However, radiologic differences between benign and malignant lipomatous lesions may be subtle and pathologic correlation is often needed. Read More

Acta Reumatol Port 2017 Jan-Mar;42(1):91-93

Hospital de Braga.

Objectives: Elastofibroma dorsi is an uncommon benign tumor, typically located in the subscapularis region. Our goal is to describe the main features of elastofibroma dorsi to increase awareness of its existence and proper management.

Material And Methods: We report a case of a 59-year-old woman with bilateral Elastofibroma dorsi and made a brief review of the epidemiological, clinical and radiodiagnostic features of this entity. Read More

Skeletal Radiol 2017 Mar 5;46(3):393-397. Epub 2017 Jan 5.

III Orthopaedic and Traumatology Clinic, Rizzoli Orthopaedic Institute, Via Pupilli 1, 40136, Bologna, Italy.

A 51-year-old man presented with elastofibroma (EF) of the gluteal region with a concomitant contralateral lesion. The patient presented with a slow growing mass of the proximal third of the right buttock and had swelling, discomfort in sitting, and right-hip pain during walking for 2 months. On MRI, a soft-tissue mass was noted between the gluteus maximus and the gluteus medius muscle. Read More

Case Rep Gastrointest Med 2016 6;2016:2697187. Epub 2016 Nov 6.

University of Nebraska Medical Center, Omaha, NE, USA.

Elastofibroma is a benign tumor of the musculoskeletal system characterized by the abnormal accumulation of elastinophilic fibers. It has been classically described for subscapular region but has been reported in several musculoskeletal sites over the years and rarely even in the GI tract but never in pancreas. We therefore present the case of a 45-year-old female who presented with intermittent abdominal pain. Read More

Acta Orthop Traumatol Turc 2017 Jan 22;51(1):7-11. Epub 2016 Oct 22.

Çukurova University Faculty of Medicine, Department of Orthopedics and Traumatology, Adana, Turkey.

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. Read More

ANZ J Surg 2016 Nov 31;86(11):946-947. Epub 2014 Jul 31.

Upper Gastro-Intestinal and Hepato-Biliary Unit, The Canberra Hospital, Canberra, Australian Capital Territory, Australia.

J Stroke Cerebrovasc Dis 2016 Oct 15;25(10):e185-7. Epub 2016 Aug 15.

Department of Neurology and Psychiatry, Endovascular Neurosurgery/Interventional Neuroradiology, Sapienza University of Rome, Rome, Italy.

A 75-year-old man with hypertension and atrial fibrillation was admitted to our emergency room with right-sided hemiplegia and complete aphasia (National Institutes of Health Stroke Scale [NIHSS] score = 18). A noncontrast computed tomography scan showed a slight hypodensity in the left insular region and a bright hyperdense sign in the M1 tract of the left middle cerebral artery (MCA). Angio-CT confirmed an occlusion of the M1 tract of the MCA. Read More

Asian Cardiovasc Thorac Ann 2016 Oct 4;24(8):831-832. Epub 2016 Jul 4.

Department of Thoracic Surgery, Ankara Numune Research and Training Hospital, Ankara, Turkey.