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. 2008 Mar;9(1):33-7.
doi: 10.1007/s10195-008-0102-7. Epub 2008 Mar 13.

Elastofibroma dorsi: 8 case reports and a literature review

F Muratori  1 , M Esposito, F Rosa, F Liuzza, N Magarelli, B Rossi, H M Folath, F Pacelli, G Maccauro
Affiliations

Elastofibroma dorsi: 8 case reports and a literature review

F Muratori et al. J Orthop Traumatol. 2008 Mar.

Abstract

A series of 8 cases of elastofibroma is reported, and the clinical, pathological and imaging features and different therapeutic modalities are reviewed. On this basis, we suggest an algorithm for the diagnosis and treatment of elastofibroma. Briefly, marginal excision is the treatment of choice in symptomatic patients, while followup appears to be a good solution in asymptomatic ones.

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Figures

Fig.1
Fig.1
Ultrasound examination shows an abnormal mass in a location typical of elastofibroma, with an alternating pattern of hyperechogenic and hypoechogenic lines
Fig.2a–d
Fig.2a–d
T1-weighted MR images. a Axial image shows a hypo-intense solid mass under the right scapula within the muscular tissue of the posterior thoracic wall. The diameter of this mass with a regular contour is 6.18 cm. b-d After the infusion of gadolinium with fat suppression technique, MRI shows a prevalent peripheral enhancement with a central hypo-intensity due to fat tissue. A ill defined mass appears without bone or surrounding soft tissue infiltration and is localized between the subscapularis muscle and the posterior thoracic wall
Fig.3
Fig.3
Histological analysis shows characteristic structure with alternating streaks of fatty tissue and strands of fibrous tissue
Fig.4
Fig.4
Diagnostic and therapeutic algorithm proposed for elastofibroma
See this image and copyright information in PMC

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