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

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

Meltem Azatçam Eren Altun , Mehmet Furkan Sahin

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.

Keywords

Elastofibroma dorsi, subscapularis kitle, ekstratorasik kitle lezyonu

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

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.

Keywords

Elastofibroma dorsi, subscapularis mass

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