NADİR BİR GÖĞÜS AĞRISI NEDENİ ELASTOFİBROMA DORSİ

Yıl 2015, Cilt: 29 Sayı: 1, 53 - 56, 01.05.2015

Mustafa Çalık Nuri Düzgün Saniye Göknil Çalık Taha Tahir Bekçi Yaşar Ünlü Hıdır Esme

Öz

Elastofibroma dorsi periskapular bölgede bulunan ve nadir görülen psödotümöral bir lezyondur. Yaşlılarda %24 oranında görülür. Lezyonun patogenezi tam bilinmemekle birlikte, skapula ve göğüs duvarı arasında tekrarlayan mikrotravmaların fibroelastik dokuda reaktif hiperproliferasyon oluşturarak elastofibroma dorsiye neden olduğu düşünülmektedir. Elastofibroma dorsi, genelde 50 yaşın üzerindeki hastalarda görülmesi, periskapular bölgede ve derin yerleşimli olması nedeni ile çoğu zaman malign tümör sanılabilmektedir. Olğumuzda, metastatik akciğer karsinomu tanısı ile kliniğimize yattığı esnada yapılan muayenede bilateral subskapular bölgede hareketle ağrılı ve karakteristik “klik” sesinin alındığı lezyonlar tespit edildi. Operasyonda her iki kitleden de gönderilen frozen sonucu benign olarak bildirildi. Her iki kitle total olarak eksize edildi. Hasta postoperatif 14. gün taburcu edildi.

Anahtar Kelimeler

Bilateral elastofibroma dorsi, yumuşak doku, beniğn tümör

ELASTOFIBROMA DORSI: A RARE CAUSE OF CHEST PAIN

Öz

Elastofibroma dorsi is a rare pseudotumoral lesion located in the periscapular region. Prevalence is up to 24% in the elderly. The pathogenesis of the lesion is still unclear, but repetitive microtrauma by friction between the scapula and the thoracic wall may cause the reactive hyperproliferation of fibroelastic tissue. This lesion is usually seen in patients over the age of 50 years and is not uncommonly mistaken as a malignant tumour because of its size and location deep to the periscapular muscles. In our case, metastatic lung cancer examination in our clinic with bilateral subcapsular mass was found lying at the time. The frozen section report of the two masses was reported as benign in operation. The two mass was totally removed. At the 14th postoperative day, the patient was discharged.

Anahtar Kelimeler

Bilateral elastofibroma dorsi, soft tissue, benign tumor

Kaynakça

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