Case Report
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FARKLI LOKALİZASYONLARDA KARŞIMIZA ÇIKABİLECEK NADİR BİR YUMUŞAK DOKU LEZYONU: ELASTOFİBROMA DORSİ

Year 2017, Volume: 6 Issue: 1, 34 - 37, 30.04.2017

Abstract




Elastofibroma dorsi, sıklıkla göğüs duvarının subskapular bölgesinde görülen, kapsülsüz olduğu için sınırları iyi ayırt edilemeyen, nadir görülen, fibröz dokudan kaynaklanıp yavaş büyüme eğiliminde olan yumuşak doku tümörüdür. Etyolojisi tam olarak tanımlanamamıştır. Hastaların büyük çoğu asemptomatiktir; semptomatik olgular çoğunlukla omuz hareketleriyle belirginleşen skapula altında şişlik ve sırtta hissedilen rahatsızlık hissi ile başvururlar. Tanıda görüntüleme yöntemlerinden faydalanılır. MRG bulguları tanıda çoğu zaman yeterli olmaktadır. Tanıyı kesinleştirmek için iğne aspirasyonu veya insizyonel biyopsi yapılabilir ancak eksizyonel biyopsi tercih edilmelidir. Tedavisi yakınması olan hastalarda marjinal sınırlarda kitlenin çıkartılmasıdır.


Biz bu çalışmamızda; omuz hareketleriyle gelişen rahatsızlık hissi ve skapula altında hissedilen kitle lezyonu şikayetleriyle başvuran 49 yaşında bayan hastada klinik muayene ve görüntüleme yöntemleri ile tanı konulan, cerrahi eksizyon ile tedavi edilen nadir görülen elastofibroma dorsi olgumuzu paylaşmak istedik.


References

  • 1. Di Vito A, Scali E, Ferraro G, et al. Elastofibroma dorsi: a histochemical and immunohistochemical study. Eur J Histochem. 2015 Feb 19;59(1):2459.
  • 2. Bulam H, Sezgin B, Findikcioglu K, Cesur N. A 1-Year-Old Boy With Paraspinal Elastofibroma: The Youngest Diagnosed Elastofibroma. Ann Thorac Surg. 2015 Jul;100(1):302-4.
  • 3. Nagamine N, Nohara Y, Ito E. Elastofibroma in Okinawa. A clinicopathologic study of 170 cases. Cancer. 1982;1;50(9):1794-805.
  • 4. El Hammoumi M, Qtaibi A, Arsalane A, El Oueriachi F, Kabiri el H. Elastofibroma dorsi: clinicopathological analysis of 76 cases. Korean J Thorac Cardiovasc Surg. 2014;47(2):111-6.
  • 5. Giebel GD, Bierhoff E, Vogel J. Elastofibroma and pre-elastofibroma--a biopsy and autopsy study. Eur J Surg Oncol. 1996;22(1):93-6.
  • 6. Järvi OH, Saxén AE, Hopsu-Havu VK, Wartiovaara JJ, Vaissalo VT. Elastofibroma--a degenerative pseudotumor. Cancer. 1969;23(1):42-63.
  • 7. Erhamamci S, Reyhan M, Nursal GN, et al. Elastofibroma dorsi incidentally detected by (18)F-FDG PET/CT imaging. Ann Nucl Med. 2015;29(5):420-5.
  • 8. Kılıç, D., Şahin, E., Fındıkcıoğlu, A., Bal, N., Tercan, F.,Hatipoğlu, A. Bilateral elastofibroma dorsi. Türk Toraks Dergisi,2007; 8;52-4.
  • 9. Novati FC, Franchi A, Papa G, Arnež ZM. Elastofibroma dorsi. Our experience with 11 lesions. Ann Ital Chir. 2014;29;85
  • 10. Chandrasekar, C. R., Grimer, R. J., Carter, S. R., et al. Elastofibroma dorsi: an uncommon benign pseudotumour. Sarcoma, 2008;2008.
  • 11. Lococo F, Cesario A, de Franco S, Ricchetti T, Sgarbi G, Treglia G. Is 18FDG PET/CT evaluation really useful in the diagnosis of elastofibroma dorsi? Rev Esp Med Nucl Imagen Mol. 2014;33(1):62.
  • 12. Karakurt O, Kaplan T, Gunal N, et al. Elastofibroma dorsi management and outcomes: review of 16 cases. Interact Cardiovasc Thorac Surg. 2014 Feb;18(2):197-201.
  • 13. Potter TJ, Summerlin DJ, Rodgers SF. Elastofibroma: the initial report in the oral mucosa. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004;97(1):64-7.
  • 14. Fardisi S, Ashraf MJ, Zarei MR, Azarpira N, Raoof M, Amanpour S. Elastofibroma of the Face: A Case Report. J Dent (Shiraz). 2015;16(1 Suppl):73-5.
  • 15. Flotte T, Pinar H, Feiner H. Papillary elastofibroma of the left ventricular septum. Am J Surg Pathol. 1980;4(6):585-8.
  • 16. Tsutsumi A, Kawabata K, Taguchi K, Doi K. Elastofibroma of the greater omentum. Acta Pathol Jpn. 1985;35(1):233-41.
  • 17. Yücel İ, Solak K, Arıcan M, Özturan KE, Bilateral elastofibroma dorsi, olgu sunumu, Göztepe Tıp Dergisi,2012; 27(2):80-85.
  • 18. Akçam Tİ, Çağırıcı U, Çakan A, Akın H. Bilateral familial elastofibroma dorsi: is genetic abnormality essential? Ann Thorac Surg. 2014;98(2):e31-2.
  • 19. McComb, Erin N., et al. "Cytogenetic instability, predominantly involving chromosome 1, is characteristic of elastofibroma." Cancer genetics and cytogenetics 2001:126.1;68-72.
  • 20. Enjoji, Munetomo, Kinjiro Sumiyoshi, and Kazuhito Sueyoshi. "Elastofibromatous lesion of the stomach in a patient with elastofibroma dorsi."The American journal of surgical pathology 1985:9:3;233-237.
  • 21. Malghem, J., Baudrez, V., Lecouvet, F., Lebon, C., Maldague, B., & Berg, B. V. Imaging study findings in elastofibroma dorsi. Joint Bone Spine, 2004;71:6;536-541.
  • 22. Naylor MF, Nascimento AG, Sherrick AD, McLeod RA. Elastofibroma dorsi:radiologic findings in 12 patients. AJR Am J Roentgenol. 1996;167(3):683-7.
  • 23. Domanskı H A. Elastic fibers in elastofibroma dorsi by fine‐needle aspiration. Diagnostic cytopathology, 2014, 42.7: 609-611.
  • 24. Falidas E, Arvanitis D, Anyfantakis G, et al. Painful elastofibroma dorsi: a report of a case and a brief review of the literature. Case Rep Orthop. 2013;2013:794247
  • 25. Crıscıone, Alessandra, et al. Elastofibroma dorsi and the thoracic surgeon: experience with 13 patients. Future Oncology, 2015;11;24: 47-50.

RARE SOFT TISSUE LESIONS THAT CAN BE ENCOUNTERED IN VARIOUS LOCATIONS: ELASTOFIBROMA DORSI

Year 2017, Volume: 6 Issue: 1, 34 - 37, 30.04.2017

Abstract




Elastofibroma dorsi is a slowly growing, rarely seen soft tissue tumor that is originated from fibrous tissue, is frequently observed in the subscapularis region of the chest wall, whose boundaries can not be distinguished because of it’s encapsulated. The etiology has not been fully defined. Most of the patients are asymptomatic; symptomatic patients often present with lump under scapula that demonstrates with shoulder movements and discomfort is sensed in the back. İmaging procedures are useful for diagnosis. Most of the time MRI findings are sufficient. Incisional biopsy or needle aspiration can be performed to confirm the diagnosis however excisional biopsy should be preferred. Treatment of the symptomatic patients is to remove the mass with marginal boundaries.


In this study we would like to share rarely seen elastofibroma dorsi case that is diagnosed by clinical examination and imaging modalities in 49 years old female patient that is admitted with the sense of discomfort which develops with shoulder movements and feeling of a mass under scapula; is treated by is surgical excision.


References

  • 1. Di Vito A, Scali E, Ferraro G, et al. Elastofibroma dorsi: a histochemical and immunohistochemical study. Eur J Histochem. 2015 Feb 19;59(1):2459.
  • 2. Bulam H, Sezgin B, Findikcioglu K, Cesur N. A 1-Year-Old Boy With Paraspinal Elastofibroma: The Youngest Diagnosed Elastofibroma. Ann Thorac Surg. 2015 Jul;100(1):302-4.
  • 3. Nagamine N, Nohara Y, Ito E. Elastofibroma in Okinawa. A clinicopathologic study of 170 cases. Cancer. 1982;1;50(9):1794-805.
  • 4. El Hammoumi M, Qtaibi A, Arsalane A, El Oueriachi F, Kabiri el H. Elastofibroma dorsi: clinicopathological analysis of 76 cases. Korean J Thorac Cardiovasc Surg. 2014;47(2):111-6.
  • 5. Giebel GD, Bierhoff E, Vogel J. Elastofibroma and pre-elastofibroma--a biopsy and autopsy study. Eur J Surg Oncol. 1996;22(1):93-6.
  • 6. Järvi OH, Saxén AE, Hopsu-Havu VK, Wartiovaara JJ, Vaissalo VT. Elastofibroma--a degenerative pseudotumor. Cancer. 1969;23(1):42-63.
  • 7. Erhamamci S, Reyhan M, Nursal GN, et al. Elastofibroma dorsi incidentally detected by (18)F-FDG PET/CT imaging. Ann Nucl Med. 2015;29(5):420-5.
  • 8. Kılıç, D., Şahin, E., Fındıkcıoğlu, A., Bal, N., Tercan, F.,Hatipoğlu, A. Bilateral elastofibroma dorsi. Türk Toraks Dergisi,2007; 8;52-4.
  • 9. Novati FC, Franchi A, Papa G, Arnež ZM. Elastofibroma dorsi. Our experience with 11 lesions. Ann Ital Chir. 2014;29;85
  • 10. Chandrasekar, C. R., Grimer, R. J., Carter, S. R., et al. Elastofibroma dorsi: an uncommon benign pseudotumour. Sarcoma, 2008;2008.
  • 11. Lococo F, Cesario A, de Franco S, Ricchetti T, Sgarbi G, Treglia G. Is 18FDG PET/CT evaluation really useful in the diagnosis of elastofibroma dorsi? Rev Esp Med Nucl Imagen Mol. 2014;33(1):62.
  • 12. Karakurt O, Kaplan T, Gunal N, et al. Elastofibroma dorsi management and outcomes: review of 16 cases. Interact Cardiovasc Thorac Surg. 2014 Feb;18(2):197-201.
  • 13. Potter TJ, Summerlin DJ, Rodgers SF. Elastofibroma: the initial report in the oral mucosa. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004;97(1):64-7.
  • 14. Fardisi S, Ashraf MJ, Zarei MR, Azarpira N, Raoof M, Amanpour S. Elastofibroma of the Face: A Case Report. J Dent (Shiraz). 2015;16(1 Suppl):73-5.
  • 15. Flotte T, Pinar H, Feiner H. Papillary elastofibroma of the left ventricular septum. Am J Surg Pathol. 1980;4(6):585-8.
  • 16. Tsutsumi A, Kawabata K, Taguchi K, Doi K. Elastofibroma of the greater omentum. Acta Pathol Jpn. 1985;35(1):233-41.
  • 17. Yücel İ, Solak K, Arıcan M, Özturan KE, Bilateral elastofibroma dorsi, olgu sunumu, Göztepe Tıp Dergisi,2012; 27(2):80-85.
  • 18. Akçam Tİ, Çağırıcı U, Çakan A, Akın H. Bilateral familial elastofibroma dorsi: is genetic abnormality essential? Ann Thorac Surg. 2014;98(2):e31-2.
  • 19. McComb, Erin N., et al. "Cytogenetic instability, predominantly involving chromosome 1, is characteristic of elastofibroma." Cancer genetics and cytogenetics 2001:126.1;68-72.
  • 20. Enjoji, Munetomo, Kinjiro Sumiyoshi, and Kazuhito Sueyoshi. "Elastofibromatous lesion of the stomach in a patient with elastofibroma dorsi."The American journal of surgical pathology 1985:9:3;233-237.
  • 21. Malghem, J., Baudrez, V., Lecouvet, F., Lebon, C., Maldague, B., & Berg, B. V. Imaging study findings in elastofibroma dorsi. Joint Bone Spine, 2004;71:6;536-541.
  • 22. Naylor MF, Nascimento AG, Sherrick AD, McLeod RA. Elastofibroma dorsi:radiologic findings in 12 patients. AJR Am J Roentgenol. 1996;167(3):683-7.
  • 23. Domanskı H A. Elastic fibers in elastofibroma dorsi by fine‐needle aspiration. Diagnostic cytopathology, 2014, 42.7: 609-611.
  • 24. Falidas E, Arvanitis D, Anyfantakis G, et al. Painful elastofibroma dorsi: a report of a case and a brief review of the literature. Case Rep Orthop. 2013;2013:794247
  • 25. Crıscıone, Alessandra, et al. Elastofibroma dorsi and the thoracic surgeon: experience with 13 patients. Future Oncology, 2015;11;24: 47-50.
There are 25 citations in total.

Details

Primary Language Turkish
Journal Section Olgu sunumları
Authors

Meltem Azatçam This is me

Eren Altun

Mehmet Furkan Sahin This is me

Publication Date April 30, 2017
Submission Date October 5, 2016
Published in Issue Year 2017 Volume: 6 Issue: 1

Cite

APA Azatçam, M., Altun, E., & Sahin, M. F. (2017). FARKLI LOKALİZASYONLARDA KARŞIMIZA ÇIKABİLECEK NADİR BİR YUMUŞAK DOKU LEZYONU: ELASTOFİBROMA DORSİ. Balıkesir Sağlık Bilimleri Dergisi, 6(1), 34-37.

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