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Elastofibroma dorsi: A soft tissue masquerade.

Go PH, Meadows MC, Deleon EM, Chamberlain RS - Int J Shoulder Surg (2010)

Bottom Line: Fourteen case series and 43 isolated case reports involved 263 women and 67 men (F:M ratio = 3.9:1), with a mean age of 62 years (range 6-94 years).Bilateral ED was present in 164 patients and unilateral ED in 157.The reported prevalence in the elderly population ranges from a minimum of 2% to a maximum of 24%.

View Article: PubMed Central - PubMed

Affiliation: Saint George's University, School of Medicine, Grenada, West Indies.

ABSTRACT
Elastofibroma dorsi (ED) is a soft tissue tumor found in the subscapular region. The pathogenesis of ED is unclear, but may involve a regenerative or reactive hyperproliferation due to mechanical microtrauma. Magnetic resonance imaging (MRI) is preferred to diagnose ED and complete excision is curative. When bilateral, subscapular masses are identified in the elderly patient and MRI characteristics are typical, biopsy and excision can be avoided. Symptomatic EDs should be excised, and recurrence is rare. Three hundred and thirty cases of ED have been reported since 1980. Fourteen case series and 43 isolated case reports involved 263 women and 67 men (F:M ratio = 3.9:1), with a mean age of 62 years (range 6-94 years). Bilateral ED was present in 164 patients and unilateral ED in 157. The reported prevalence in the elderly population ranges from a minimum of 2% to a maximum of 24%.

No MeSH data available.


Related in: MedlinePlus

MRI of a subscapular elastofibroma from our patient is shown. (a) T1- and (b) T2-weighted images showing the typical well-defined, inhomogenous mass (arrows), with signal intensity similar to that of surrounding skeletal muscle and interlaced with areas of adipose tissue
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Figure 0001: MRI of a subscapular elastofibroma from our patient is shown. (a) T1- and (b) T2-weighted images showing the typical well-defined, inhomogenous mass (arrows), with signal intensity similar to that of surrounding skeletal muscle and interlaced with areas of adipose tissue

Mentions: The patient returned 2 years later with increasing discomfort and limited range of motion on the right side. MRI revealed a mass below the body of the scapula, which was isointense to muscle and contained interspersed signals similar to fat, with moderate diffuse enhancement seen on post-gadolinium imaging [Figure 1]. ED was diagnosed at this time and complete excision of the symptomatic right subscapular mass was performed. Six weeks following surgery, the patient fully recovered.


Elastofibroma dorsi: A soft tissue masquerade.

Go PH, Meadows MC, Deleon EM, Chamberlain RS - Int J Shoulder Surg (2010)

MRI of a subscapular elastofibroma from our patient is shown. (a) T1- and (b) T2-weighted images showing the typical well-defined, inhomogenous mass (arrows), with signal intensity similar to that of surrounding skeletal muscle and interlaced with areas of adipose tissue
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3100815&req=5

Figure 0001: MRI of a subscapular elastofibroma from our patient is shown. (a) T1- and (b) T2-weighted images showing the typical well-defined, inhomogenous mass (arrows), with signal intensity similar to that of surrounding skeletal muscle and interlaced with areas of adipose tissue
Mentions: The patient returned 2 years later with increasing discomfort and limited range of motion on the right side. MRI revealed a mass below the body of the scapula, which was isointense to muscle and contained interspersed signals similar to fat, with moderate diffuse enhancement seen on post-gadolinium imaging [Figure 1]. ED was diagnosed at this time and complete excision of the symptomatic right subscapular mass was performed. Six weeks following surgery, the patient fully recovered.

Bottom Line: Fourteen case series and 43 isolated case reports involved 263 women and 67 men (F:M ratio = 3.9:1), with a mean age of 62 years (range 6-94 years).Bilateral ED was present in 164 patients and unilateral ED in 157.The reported prevalence in the elderly population ranges from a minimum of 2% to a maximum of 24%.

View Article: PubMed Central - PubMed

Affiliation: Saint George's University, School of Medicine, Grenada, West Indies.

ABSTRACT
Elastofibroma dorsi (ED) is a soft tissue tumor found in the subscapular region. The pathogenesis of ED is unclear, but may involve a regenerative or reactive hyperproliferation due to mechanical microtrauma. Magnetic resonance imaging (MRI) is preferred to diagnose ED and complete excision is curative. When bilateral, subscapular masses are identified in the elderly patient and MRI characteristics are typical, biopsy and excision can be avoided. Symptomatic EDs should be excised, and recurrence is rare. Three hundred and thirty cases of ED have been reported since 1980. Fourteen case series and 43 isolated case reports involved 263 women and 67 men (F:M ratio = 3.9:1), with a mean age of 62 years (range 6-94 years). Bilateral ED was present in 164 patients and unilateral ED in 157. The reported prevalence in the elderly population ranges from a minimum of 2% to a maximum of 24%.

No MeSH data available.


Related in: MedlinePlus