A Not Uncommon Tumor: Elastofibroma Dorsi: Are Cross-Sectional Diagnosis Techniques Enough Without Performing Histopathological Diagnosis?

Abstract

Elastofibroma dorsi is a stiff, slow growing, cresent shaped pseudotumor of elder age group. It has been showing fibraelastic proliferation and arising from subscapular or infrascapular region. A 72 year-old female with bilateral elastofibroma dorsi is reported. The aim of this study is to point out the importance of elastofibroma dorsi to the comparatively less experienced clinicians and radiologists and to discuss the best way to diagnose this tumor. In addition, we would like to emphasize that elastofibroma dorsi is not so uncommon tumor but it is just not recognized enough yet, contrary to many reported case reports and articles

Keywords

• elastofibroma dorsi,chest wall,computed tomography,magnetic resonance imaging

Nadir Olmayan Bir Tümör: Elastofibroma Dorsi. Histopatolojik Tetkikler Yapılmadan Sadece Radyolojik Tanı Yöntemleri Yeterli Midir?

Abstract

Elastofibroma dorsi, yaşlılarda görülen sert, yavaş büyüyen, hilal şeklinde bir yalancı tümördür. Fibroelastik proliferasyon gösterir ve subskapular veya infraskapular bölgede oluşur. Bu çalışmada, 72 yaşında bir bayan hastada iki taraflı elastofibroma dorsi olgusu sunulmuştur. Bu çalışmanın amacı, nispeten az tecrübeli klinisyen ve radyologlar için elastofibroma dorsinin önemini belirtmek ve en iyi tanı tanı yöntemini tartışmaktır.Ek olarak elastofibroma dorsinin aslında çok nadir bir tumor olmadığını ancak yayımlanan pek çok olgu sunumu ve makalelere rağmen yeteri kadar tanınmadığını vurgulamak istedik

Keywords

• elastofibroma dorsi,göğüs duvarı,bilgisyarlı tomografi,manyetik rezonans görüntüleme

References

1. Weiss SW, Goldblum JR. Enzinger and Weiss’s soft tissue tumors. 4th ed. St Louis, Mo: Mosby, 247–346. 2001
2. Nagamine N, Nohara Y, Ito E. Elastofibroma clinicopathologic study of 170 cases. Cancer;50:1794–1805. 1982
3. Hisaoka M, Hashimoto H. Elastofibroma: clonal fibrous proliferation with predominant CD34- positive cells. Virchows Arch;448:195–199. 2006
4. Järvi OH, Saxén AE, Elastofibroma dorsi, Acta Pathol Microbiol Scand. 51 (Suppl. 144), 83–84. 1961
5. Pierce JC 3rd, Henderson R. Hypermetabolism of Elastofibroma Dorsi on PET–CT Am. J. Roentgenol., 183: 35 - 37. 2004
6. Kransdorf MJ, Moser RP Jr, Meis JM, Meyer CA. Fat-containing soft-tissue masses of the extremities. RadioGraphics;11:81–106.1991
7. Marin ML, Perzin KH, Markowitz AM. Elastofibroma dorsi: benign chest wall tumor. J Thorac Cardiovasc Surg;98:234–238. 1989
8. Brandser EA, Goree JC, El-Khoury GY. Elastofibroma dorsi: prevalence in an elderly patient population as revealed by AJR Am J Roentgenol; 171:977–980. 1998

9. Jarvi OH, Lamsimies PH. Subclinical elastofibroma in the scapular region in an autopsy series. Acta Pathol Microbiol Scand [A];83:87–108. 1975
10. Kransdorf MJ, Meis JM, Montgomery E. Elastofibroma: MR and CT apperance with radiologic-pathologic correlation. AJR Am Roentgenol; 159:575-579. 1992
11. Naylor MF, Nascimento AG, Sherrick AD, and McLeod RA Elastofibroma dorsi: radiologic findings in 12 patients Am. J. Roentgenol. 167: 683 - 687. 1996
12. Giebel GD, Bierhoff E, Vogel J. Elastofibroma and pre-elastofibroma-- a biopsy and autopsy study. Eur J Surg Oncol. 22(1):93-6. 1996
13. Soler R, Requejo I, Pombo F, Sáez A.Elastofibroma dorsi: MR and CT findings. Eur J Radiol.27(3):264-7. 1998
14. Massengill AD, Sundaram M, Kathol MH, el-Khoury GY, Buckwalter JH, Wade TP. Elastofibroma dorsi: a radiological diagnosis. Skeletal Radiol.22(2):121-3. 1993
15. Alouini R, Allani M, Harzallah L, Bahri M, Kraiem C, Tlili-Graies K.Elastofibroma: imaging features J Radiol.86(11):1712-5. 2005
16. Nishida A, Uetani M, Okimoto T, Hayashi K, Hirano T. Bilateral elastofibroma of the thighs with concomitant subscapular lesions Skeletal Radiol.32(2):116-8. 2003