Case ReportTriple locations of elastofibroma dorsi: First case report and review
Introduction
Elastofibroma dorsi (ED) is a rare benign fibroelastic tumor typically occurring in the periscapular region of elderly patients. These tumors are characterized by slow-growing and frequency of asymptomatic cases. Bilateral ED were frequently reported but cases with triple locations have never been described. Through this report, we discuss the diagnostic and therapeutic management of elastofibroma.
Section snippets
Case report
A 44-year-old woman, with no significant medical history, was operated 4 months ago for a left infrascapular chest wall tumor. She had resection and the diagnosis of desmoid tumor with free surgical margins was made. There was no history of manual job or familial similar cases. She presented for a protrusion of the right scapular area. There was no other patient's complaint especially no pain or functional impairment of the scapular girdle. On clinical exam, there was a bilateral hard mass
Discussion
ED occurs usually in elderly individuals with female predilection.1 Its prevalence is probably underestimated due to frequency of asymptomatic and radiologically undetectable cases.2 ED locates mainly in the subscapular region within the serratus anterior muscle.3, 4 Suprascapular locations are less frequent and may be isolated in half time cases and synchronously associated with subscapular locations in the other half.5 Interscapular location has been reported but right side tumors are the
Conclusion
Elastofibromas are uncommon tumors generally evocative in elderly women. Clinical appearance at diagnosis can be alarming leading to suspicion of soft-tissue sarcoma but subsequent evolution show ungrowing tumors. Multiple locations tumors may occur with no substantial changes in management. We highlight the importance of imaging features understanding particularly on MRI in order to avoid misdiagnosis and unnecessary surgical resection. Conservative management is reasonable to consider in
Conflicts of interest
All authors have none to declare.
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