Research Article
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Detailed analysis of elastofibroma dorsi cases detected incidentally on thorax CT

Year 2023, Volume: 4 Issue: 5, 579 - 584, 27.10.2023
https://doi.org/10.47582/jompac.1344338

Abstract

Aim: Elastofibroma dorsi (ED) is a benign pseudotumor detected by CT and/or MRI due to the penetration of fibrous and fatty tissues between the muscle structures and is more common in elderly people, especially in women, with subscapular topography. This study investigated the prevalence of elastofibroma dorsi in large series and CT findings.
Material and Methods: A total of 469 patients (212 women, 257 men) who underwent thoracic CT for various reasons were included in this study. The presence, dimensions, contour and density of ED were investigated in these patients.
Results: The mean age of 469 patients was 54.51±17.42 (18-88 years). Elastofibroma was detected in 15.4% (n=72) of these patients. It was determined that 69.9% (n=51) of the patients with ED were female, and the mean age of these patients was 63.21±15.72. ED was usually isodense in both sexes. Again, in both sexes, ED was more regularly contoured, and the fat planes between adjacent muscle structures were usually closed.
Conclusion: Additional studies are not required when the lesion is typical and asymptomatic on CT scans. However, surgical treatment may be recommended if the lesion is symptomatic or if doubt remains regarding the benign nature of the lesion.

References

  • Daigeler A, Vogt PM, Busch K, et al. Elastofibroma dorsi--differential diagnosis in chest wall tumours. World J Surg Oncol. 2007;5:15. doi:10.1186/1477-7819-5-15
  • Muramatsu K, Ihara K, Hashimoto T, Seto S, Taguchi T. Elastofibroma dorsi: diagnosis and treatment. J Shoulder Elbow Surg. 2007;16(5):591-595. doi:10.1016/j.jse.2006.12.010
  • Guha AR, Raja RC, Devadoss VG. Elastofibroma dorsi--a case report and review of literature. Int J Clin Pract. 2004;58(2):218-220. doi:10.1111/j.1368-5031.2004.0051.x
  • Fletcher C. Pathology and genetics of tumors of soft tissue and bone. World Health Organ Classif Tumors. 2002;4:35-46.
  • Chandrasekar CR, Grimer RJ, Carter SR, et al. Elastofibroma dorsi: an uncommon benign pseudotumour. Sarcoma. 2008;2008:756565. doi:10.1155/2008/756565
  • Deveci MA, Özbarlas HS, Erdoğan KE, Biçer ÖS, Tekin M, Özkan C. Elastofibroma dorsi: clinical evaluation of 61 cases and review of the literature. Acta Orthop Traumatol Turc. 2017;51(1):7-11. doi:10.1016/j.aott.2016.10.001
  • Sezer HF, Eliçora A, Topcu S, Abdullayev G. Elastofibroma Dorsi: Tek Merkez Deneyimi. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2021;74(2):264-268.
  • Karakurt O, Kaplan T, Gunal N, et al. Elastofibroma dorsi management and outcomes: review of 16 cases. Interact Cardiovasc Thorac Surg. 2014;18(2):197-201. doi:10.1093/icvts/ivt442
  • Başaran C, Yıldırım Dönmez F, Öztürk A, Tarhan NÇ. Elastofibroma dorsi’de MRG bulguları. Fırat Tıp Derg. 2009;14(1):65-68.
  • Giebel GD, Bierhoff E, Vogel J. Elastofibroma and pre-elastofibroma--a biopsy and autopsy study. Eur J Surg Oncol. 1996;22(1):93-96. doi:10.1016/s0748-7983(96)91781-3
  • Kara M, Dikmen E, Kara SA, Atasoy P. Bilateral elastofibroma dorsi: proper positioning for an accurate diagnosis. Eur J Cardiothorac Surg. 2002;22(5):839-841. doi:10.1016/s1010-7940(02)00475-x
  • Devaney D, Livesley P, Shaw D. Elastofibroma dorsi: MRI diagnosis in a young girl. Pediatr Radiol. 1995;25(4):282-283. doi:10.1007/BF02011101
  • Majó J, Gracia I, Doncel A, Valera M, Núñez A, Guix M. Elastofibroma dorsi as a cause of shoulder pain or snapping scapula. Clin Orthop Relat Res. 2001;(388):200-204. doi:10.1097/00003086-200107000-00027
  • Yücel İ, Solak K, Arican M, Özturan KE. Bilateral elastofibroma dorsi. Göztepe Tıp Derg. 2012;27(2):80-85.
  • Fibla J, Laureano M, Vicente M, Javier P, Gonzalo V. Élastofibrome dorsal bilatéral. Rev Rhum. 2007;74:294-6.
  • Charissoux JL, Mabit Ch, Fiorenza F, Gougam Th, Leboute MJ. Élastofibrome de l’espace scapulothoracique. Revue de la literature: à propos d’un cas. Revue Chir Orthop. 2000;86:98-103.
  • Hisaoka M, Hashimoto H. Elastofibroma: clonal fibrous proliferation with predominant CD34-positive cells. Virchows Arch. 2006;448(2):195-199. doi:10.1007/s00428-005-0053-9
  • Nishio J, Nakayama S, Nabeshima K, Yamamoto T. Current update on the diagnosis, management and pathogenesis of elastofibroma dorsi. Anticancer Res. 2021;41(5):2211-2215. doi:10.21873/anticanres.14997
  • Nishio J, Aoki M, Nabeshima K, Iwasaki H, Naito M. Imaging features of desmoid-type fibromatosis in the teres major muscle. In Vivo. 2013;27(4):555-559.
  • Kourda J, Ayadi-Kaddour A, Merai S, Hantous S, Miled KB, Mezni FE. Bilateral elastofibroma dorsi. a case report and review of the literature. Orthop Traumatol Surg Res. 2009;95(5):383-387. doi:10.1016/j.otsr.2009.05.002
  • Alouini R, Allani M, Harzallah L, Bahri M, Kraiem C, Tlili-Graies K. Imagerie de l’élastofibrome dorsal [Elastofibroma: imaging features]. J Radiol. 2005;86(11):1712-1715. doi:10.1016/s0221-0363(05)81513-6
  • Faccioli N, Foti G, Comai A, Cugini C, Guarise A, Mucelli RP. MR imaging findings of elastofibroma dorsi in correlation with pathological features: our experience. Radiol Med. 2009;114(8):1283-1291. doi:10.1007/s11547-009-0442-2
  • Saint-Paul MC, Musso S, Cardot-Leccia N, et al. Elastofibroma of the stomach. Pathol Res Pract. 2003;199(9):637-639. doi:10.1078/ 0344-0338-00474
  • Järvi OH, Länsimies PH. Subclinical elastofibromas in the scapular region in an autopsy series. Acta Pathol Microbiol Scand A. 1975;83(1):87-108. doi:10.1111/j.1699-0463.1975.tb01361.x
  • Blumenkrantz Y, Bruno GL, González CJ, Namías M, Osorio AR, Parma P. Characterization of elastofibroma dorsi with (18)FDG PET/CT: a retrospective study. Rev Esp Med Nucl. 2011;30(6):342-345. doi:10.1016/j.remn.2011.01.006
  • Nagamine N, Nohara Y, Ito E. Elastofibroma in Okinawa. A clinicopathologic study of 170 cases. Cancer. 1982;50(9):1794-1805. doi:10.1002/1097-0142(19821101)50:9<1794::aid-cncr2820500925>3.0.co;2-l
  • 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):111-116. doi:10.5090/kjtcs.2014.47.2.111
  • Abat F, Álvarez C, Trullols L, Peiró A, Bagué S, Gracia I. Elastofibroma dorsi: 7 años de seguimiento de 37 casos y revisión de la literatura [Elastofibroma dorsi: a 7-year follow-up of 37 cases and a review of the literature]. Rev Esp Cir Ortop Traumatol. 2012;56(4):295-299. doi:10.1016/j.recot.2012.03.004
  • Sarıçam M, Özkan B, Kara M. Preventing the development of recurrence and postoperative seroma of elastofibroma dorsi. Eurasian Journal of Medicine and Oncology. 2019;3(2):116-119.
  • Alberghini M, Bacchini P, Pignatti G, et al. Histochemical and ultrastructural study of an elastofibroma dorsi coexisting with a high grade spindle cell sarcoma. Eur J Histochem. 2004;48(2):173-178. doi:10.4081/884
  • Turna A, Yilmaz MA, Urer N, Bedirhan MA, Gürses A. Bilateral elastofibroma dorsi. Ann Thorac Surg. 2002;73(2):630-632. doi: 10.1016/s0003-4975(01)02862-4
  • Radouane B, El Kharras A, Jidal M. L’élastofibrome dorsal bilatéral. Feuillets de Radiologie. 2008;48(3):163-167.

Elastofibroma dorsi’de BT bulguları: tek merkezli bir çalışmad

Year 2023, Volume: 4 Issue: 5, 579 - 584, 27.10.2023
https://doi.org/10.47582/jompac.1344338

Abstract

Amaç: Elastofibroma dorsi (ED), fibröz ve yağlı dokuların kas yapıları arasına girmesi sonucu BT ve/veya MRG ile tespit edilebilen, sıklıkla subskapular topografi ile yaşlı kişilerde, özellikle kadınlarda daha fazla görülen iyi huylu bir psödotümördür. Bu araştırma, Elastofibroma Dorsi’nin geniş serilerde görülme prevelansı ile BT bulgularını araştırmak amacı ile yapılmıştır.
Materyal ve Metod: Bu araştırmaya çeşitli sebepler ile toraks BT çekilen, 469 hasta (212 kadın, 257 erkek) dahil edildi. Bu hastalarda ED varlığı, boyutları, konturu ve dansitesi araştırıldı.
Bulgular: 469 hastanın yaş ortalaması 54.51±17,42 (18-88 yaş) idi. Bu hastaların %15,4 (n=72)’de Elastofibroma tespit edildi. ED tespit edilen hastaların %69,9 (n=51)’nun kadın olduğu ve bu hastaların yaş ortalamasının 63,21±15,72 olduğu belirlendi. ED her iki cinsiyette genellikle izodens idi. Yine her iki cinsiyette ED daha çok düzenli konturlu idi ve komşu kas yapıları ile arasındaki yağ planları genellikle kapalı idi.
Sonuç: BT ile yapılan taramalarda lezyon tipik ve asemptomatik olduğunda ilave çalışmalara gerek yoktur. Bununla birlikte, lezyon semptomatikse veya lezyonun iyi huylu doğasına ilişkin şüphe devam ediyorsa cerrahi tedavi önerilebilir.

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References

  • Daigeler A, Vogt PM, Busch K, et al. Elastofibroma dorsi--differential diagnosis in chest wall tumours. World J Surg Oncol. 2007;5:15. doi:10.1186/1477-7819-5-15
  • Muramatsu K, Ihara K, Hashimoto T, Seto S, Taguchi T. Elastofibroma dorsi: diagnosis and treatment. J Shoulder Elbow Surg. 2007;16(5):591-595. doi:10.1016/j.jse.2006.12.010
  • Guha AR, Raja RC, Devadoss VG. Elastofibroma dorsi--a case report and review of literature. Int J Clin Pract. 2004;58(2):218-220. doi:10.1111/j.1368-5031.2004.0051.x
  • Fletcher C. Pathology and genetics of tumors of soft tissue and bone. World Health Organ Classif Tumors. 2002;4:35-46.
  • Chandrasekar CR, Grimer RJ, Carter SR, et al. Elastofibroma dorsi: an uncommon benign pseudotumour. Sarcoma. 2008;2008:756565. doi:10.1155/2008/756565
  • Deveci MA, Özbarlas HS, Erdoğan KE, Biçer ÖS, Tekin M, Özkan C. Elastofibroma dorsi: clinical evaluation of 61 cases and review of the literature. Acta Orthop Traumatol Turc. 2017;51(1):7-11. doi:10.1016/j.aott.2016.10.001
  • Sezer HF, Eliçora A, Topcu S, Abdullayev G. Elastofibroma Dorsi: Tek Merkez Deneyimi. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2021;74(2):264-268.
  • Karakurt O, Kaplan T, Gunal N, et al. Elastofibroma dorsi management and outcomes: review of 16 cases. Interact Cardiovasc Thorac Surg. 2014;18(2):197-201. doi:10.1093/icvts/ivt442
  • Başaran C, Yıldırım Dönmez F, Öztürk A, Tarhan NÇ. Elastofibroma dorsi’de MRG bulguları. Fırat Tıp Derg. 2009;14(1):65-68.
  • Giebel GD, Bierhoff E, Vogel J. Elastofibroma and pre-elastofibroma--a biopsy and autopsy study. Eur J Surg Oncol. 1996;22(1):93-96. doi:10.1016/s0748-7983(96)91781-3
  • Kara M, Dikmen E, Kara SA, Atasoy P. Bilateral elastofibroma dorsi: proper positioning for an accurate diagnosis. Eur J Cardiothorac Surg. 2002;22(5):839-841. doi:10.1016/s1010-7940(02)00475-x
  • Devaney D, Livesley P, Shaw D. Elastofibroma dorsi: MRI diagnosis in a young girl. Pediatr Radiol. 1995;25(4):282-283. doi:10.1007/BF02011101
  • Majó J, Gracia I, Doncel A, Valera M, Núñez A, Guix M. Elastofibroma dorsi as a cause of shoulder pain or snapping scapula. Clin Orthop Relat Res. 2001;(388):200-204. doi:10.1097/00003086-200107000-00027
  • Yücel İ, Solak K, Arican M, Özturan KE. Bilateral elastofibroma dorsi. Göztepe Tıp Derg. 2012;27(2):80-85.
  • Fibla J, Laureano M, Vicente M, Javier P, Gonzalo V. Élastofibrome dorsal bilatéral. Rev Rhum. 2007;74:294-6.
  • Charissoux JL, Mabit Ch, Fiorenza F, Gougam Th, Leboute MJ. Élastofibrome de l’espace scapulothoracique. Revue de la literature: à propos d’un cas. Revue Chir Orthop. 2000;86:98-103.
  • Hisaoka M, Hashimoto H. Elastofibroma: clonal fibrous proliferation with predominant CD34-positive cells. Virchows Arch. 2006;448(2):195-199. doi:10.1007/s00428-005-0053-9
  • Nishio J, Nakayama S, Nabeshima K, Yamamoto T. Current update on the diagnosis, management and pathogenesis of elastofibroma dorsi. Anticancer Res. 2021;41(5):2211-2215. doi:10.21873/anticanres.14997
  • Nishio J, Aoki M, Nabeshima K, Iwasaki H, Naito M. Imaging features of desmoid-type fibromatosis in the teres major muscle. In Vivo. 2013;27(4):555-559.
  • Kourda J, Ayadi-Kaddour A, Merai S, Hantous S, Miled KB, Mezni FE. Bilateral elastofibroma dorsi. a case report and review of the literature. Orthop Traumatol Surg Res. 2009;95(5):383-387. doi:10.1016/j.otsr.2009.05.002
  • Alouini R, Allani M, Harzallah L, Bahri M, Kraiem C, Tlili-Graies K. Imagerie de l’élastofibrome dorsal [Elastofibroma: imaging features]. J Radiol. 2005;86(11):1712-1715. doi:10.1016/s0221-0363(05)81513-6
  • Faccioli N, Foti G, Comai A, Cugini C, Guarise A, Mucelli RP. MR imaging findings of elastofibroma dorsi in correlation with pathological features: our experience. Radiol Med. 2009;114(8):1283-1291. doi:10.1007/s11547-009-0442-2
  • Saint-Paul MC, Musso S, Cardot-Leccia N, et al. Elastofibroma of the stomach. Pathol Res Pract. 2003;199(9):637-639. doi:10.1078/ 0344-0338-00474
  • Järvi OH, Länsimies PH. Subclinical elastofibromas in the scapular region in an autopsy series. Acta Pathol Microbiol Scand A. 1975;83(1):87-108. doi:10.1111/j.1699-0463.1975.tb01361.x
  • Blumenkrantz Y, Bruno GL, González CJ, Namías M, Osorio AR, Parma P. Characterization of elastofibroma dorsi with (18)FDG PET/CT: a retrospective study. Rev Esp Med Nucl. 2011;30(6):342-345. doi:10.1016/j.remn.2011.01.006
  • Nagamine N, Nohara Y, Ito E. Elastofibroma in Okinawa. A clinicopathologic study of 170 cases. Cancer. 1982;50(9):1794-1805. doi:10.1002/1097-0142(19821101)50:9<1794::aid-cncr2820500925>3.0.co;2-l
  • 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):111-116. doi:10.5090/kjtcs.2014.47.2.111
  • Abat F, Álvarez C, Trullols L, Peiró A, Bagué S, Gracia I. Elastofibroma dorsi: 7 años de seguimiento de 37 casos y revisión de la literatura [Elastofibroma dorsi: a 7-year follow-up of 37 cases and a review of the literature]. Rev Esp Cir Ortop Traumatol. 2012;56(4):295-299. doi:10.1016/j.recot.2012.03.004
  • Sarıçam M, Özkan B, Kara M. Preventing the development of recurrence and postoperative seroma of elastofibroma dorsi. Eurasian Journal of Medicine and Oncology. 2019;3(2):116-119.
  • Alberghini M, Bacchini P, Pignatti G, et al. Histochemical and ultrastructural study of an elastofibroma dorsi coexisting with a high grade spindle cell sarcoma. Eur J Histochem. 2004;48(2):173-178. doi:10.4081/884
  • Turna A, Yilmaz MA, Urer N, Bedirhan MA, Gürses A. Bilateral elastofibroma dorsi. Ann Thorac Surg. 2002;73(2):630-632. doi: 10.1016/s0003-4975(01)02862-4
  • Radouane B, El Kharras A, Jidal M. L’élastofibrome dorsal bilatéral. Feuillets de Radiologie. 2008;48(3):163-167.

Details

Primary Language English
Subjects Radiology and Organ Imaging
Journal Section Research Articles [en] Araştırma Makaleleri [tr]
Authors

Ali KÖKSAL

Berin TUĞTAĞ DEMİR 0000-0001-8301-9257

Fatih ÇANKAL 0000-0003-1066-353X

Early Pub Date October 26, 2023
Publication Date October 27, 2023
Published in Issue Year 2023 Volume: 4 Issue: 5

Cite

AMA KÖKSAL A, TUĞTAĞ DEMİR B, ÇANKAL F. Detailed analysis of elastofibroma dorsi cases detected incidentally on thorax CT. J Med Palliat Care / JOMPAC / jompac. October 2023;4(5):579-584. doi:10.47582/jompac.1344338

TR DİZİN ULAKBİM and International Indexes (1d)

Interuniversity Board (UAK) Equivalency: Article published in Ulakbim TR Index journal [10 POINTS], and Article published in other (excuding 1a, b, c) international indexed journal (1d) [5 POINTS]



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