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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

Diagnostic and therapeutic algorithm for treating patients with periscapular mass[17] (MRI = Magnetic resonance imaging)
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Figure 0004: Diagnostic and therapeutic algorithm for treating patients with periscapular mass[17] (MRI = Magnetic resonance imaging)

Mentions: Excision may be offered to symptomatic patients, with curative marginal resection proving to be sufficient and is preferred over wide or radical resection.[12] Because of their benign and indolent nature, there is no need to treat asymptomatic tumors if the diagnosis of ED can be confirmed. Muratori et al. suggested an algorithm for the diagnosis and treatment of a subscapular elastofibromal mass,[7] which correlates well with our own approach on second evaluation [Figure 4]. In the case of a single asymptomatic mass that demonstrates typical MR features, as previously discussed, or bilateral masses in an elderly patient, clinical follow-up is sufficient. On the other hand, in the case of a symptomatic mass with typical MR features or an asymptomatic mass with atypical MR features, marginal resection is indicated.


Elastofibroma dorsi: A soft tissue masquerade.

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

Diagnostic and therapeutic algorithm for treating patients with periscapular mass[17] (MRI = Magnetic resonance imaging)
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 0004: Diagnostic and therapeutic algorithm for treating patients with periscapular mass[17] (MRI = Magnetic resonance imaging)
Mentions: Excision may be offered to symptomatic patients, with curative marginal resection proving to be sufficient and is preferred over wide or radical resection.[12] Because of their benign and indolent nature, there is no need to treat asymptomatic tumors if the diagnosis of ED can be confirmed. Muratori et al. suggested an algorithm for the diagnosis and treatment of a subscapular elastofibromal mass,[7] which correlates well with our own approach on second evaluation [Figure 4]. In the case of a single asymptomatic mass that demonstrates typical MR features, as previously discussed, or bilateral masses in an elderly patient, clinical follow-up is sufficient. On the other hand, in the case of a symptomatic mass with typical MR features or an asymptomatic mass with atypical MR features, marginal resection is indicated.

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