Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Elastofibroma Dorsi: Clinicopathological Analysis of 76 Cases

  • El Hammoumi, Massine (Department of Thoracic Surgery, Mohamed V Military University Hospital) ;
  • Qtaibi, Abderrahim (Department of Pathology, Mohamed V Military University Hospital) ;
  • Arsalane, Adil (Department of Thoracic Surgery, Mohamed V Military University Hospital) ;
  • El Oueriachi, Faycal (Department of Thoracic Surgery, Mohamed V Military University Hospital) ;
  • Kabiri, El Hassane (Department of Thoracic Surgery, Mohamed V Military University Hospital)
  • Received : 2013.05.27
  • Accepted : 2013.08.05
  • Published : 2014.04.05
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Abstract

Background: We aimed to investigate the epidemiological, clinical, paraclinical, and treatment aspects of elastofibroma dorsi through a retrospective study of 76 patients who underwent surgery between January 2008 and December 2012 in our department. Methods: Our study is retrospective between January 2008 and December 2012. We admitted 79 patients with a subscapular mass, and only 76 patients had ED. The others (n=2) had high associated risk of anesthesia and were managed by a medical treatment and one patient had a subscapular sclerotic hemangioma. Results: The average age of the patients was 49 years (range, 38 to 70 years), with a female predominance (54 females and 22 males). Subscapular location was constant. The right, left, and bilateral form was noted in 41, 15 and 20 cases, respectively. The diagnosis was clinical in 60 cases. Ultrasound and computerized tomography scans confirmed the diagnosis of an ill-defined mass in a subscapular location in all cases. Surgical treatment consisted of complete resection of the mass. The clinical diameter of the mass remained significantly lower than that of the surgical specimen (7 cm versus 12 cm) because the major hidden part of the mass in the subscapular area was inaccessible to palpation. Complications were noted in 9 cases (11.8%), seroma in 8 cases (10.5%), infection of wound site in 4 cases (5%), and parietal textilome in one case (1%). No case of recurrence was noted. Conclusion: Surgery of elastofibroma is unique because of the subscapular location of the parietal tumor, whose histological fibrous nature makes it very adherent to the chest wall.

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References

  1. Jarvi O, Saxen E. Elastofibroma dorse. Acta Pathol Microbiol Scand Suppl 1961;51(Suppl 144):83-4.
  2. Kara M, Dikmen E, Kara SA, Atasoy P. Bilateral elastofibroma dorsi: proper positioning for an accurate diagnosis. Eur J Cardiothorac Surg 2002;22:839-41. https://doi.org/10.1016/S1010-7940(02)00475-X
  3. Schick S, Zembsch A, Gahleitner A, et al. Atypical appearance of elastofibroma dorsi on MRI: case reports and review of the literature. J Comput Assist Tomogr 2000;24: 288-92. https://doi.org/10.1097/00004728-200003000-00020
  4. Giebel GD, Bierhoff E, Vogel J. Elastofibroma and pre-elastofibroma: a biopsy and autopsy study. Eur J Surg Oncol 1996;22:93-6. https://doi.org/10.1016/S0748-7983(96)91781-3
  5. Marin ML, Perzin KH, Markowitz AM. Elastofibroma dorsi: benign chest wall tumor. J Thorac Cardiovasc Surg 1989;98: 234-8.
  6. Stemmermann GN, Stout AP. Elastofibroma dorsi. Am J Clin Pathol 1962;37:499-506.
  7. Fukuda Y, Miyake H, Masuda Y, Masugi Y. Histogenesis of unique elastinophilic fibers of elastofibroma: ultrastructural and immunohistochemical studies. Hum Pathol 1987;18:424-9. https://doi.org/10.1016/S0046-8177(87)80026-6
  8. Nagamine N, Nohara Y, Ito E. Elastofibroma in Okinawa: a clinicopathologic study of 170 cases. Cancer 1982;50:1794-805. https://doi.org/10.1002/1097-0142(19821101)50:9<1794::AID-CNCR2820500925>3.0.CO;2-L
  9. Enjoji M, Sumiyoshi K, Sueyoshi K. Elastofibromatous lesion of the stomach in a patient with elastofibroma dorsi. Am J Surg Pathol 1985;9:233-7. https://doi.org/10.1097/00000478-198503000-00007
  10. Batstone P, Forsyth L, Goodlad J. Clonal chromosome aberrations secondary to chromosome instability in an elastofibroma. Cancer Genet Cytogenet 2001;128:46-7. https://doi.org/10.1016/S0165-4608(01)00394-6
  11. 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;95:383-7. https://doi.org/10.1016/j.otsr.2009.05.002
  12. Turna A, Yilmaz MA, Urer N, Bedirhan MA, Gurses A. Bilateral elastofibroma dorsi. Ann Thorac Surg 2002;73:630-2. https://doi.org/10.1016/S0003-4975(01)02862-4
  13. Battaglia M, Vanel D, Pollastri P, et al. Imaging patterns in elastofibroma dorsi. Eur J Radiol 2009;72:16-21. https://doi.org/10.1016/j.ejrad.2009.05.024
  14. Kastner M, Salai M, Fichman S, Heller S, Dudkiewicz I. Elastofibroma at the scapular region. Isr Med Assoc J 2009;11:170-2.
  15. Malghem J, Baudrez V, Lecouvet F, Lebon C, Maldague B, Vande Berg B. Imaging study findings in elastofibroma dorsi. Joint Bone Spine 2004;71:536-41. https://doi.org/10.1016/j.jbspin.2004.04.006
  16. Kransdorf MJ, Meis JM, Montgomery E. Elastofibroma: MR and CT appearance with radiologic-pathologic correlation. AJR Am J Roentgenol 1992;159:575-9. https://doi.org/10.2214/ajr.159.3.1503030
  17. Tetikkurt C, Tetikkurt S, Bayar N. Diagnosis of elastofibroma. Can Respir J 2008;15:217-8.
  18. Parratt MT, Donaldson JR, Flanagan AM, et al. Elastofibroma dorsi: management, outcome and review of the literature. J Bone Joint Surg Br 2010;92:262-6.
  19. Daigeler A, Vogt PM, Busch K, et al. Elastofibroma dorsi: differential diagnosis in chest wall tumours. World J Surg Oncol 2007;5:15. https://doi.org/10.1186/1477-7819-5-15
  20. Deutsch GP. Elastofibroma dorsalis treated by radiotherapy. Br J Radiol 1974;47:621-3. https://doi.org/10.1259/0007-1285-47-561-621
  21. Chandrasekar CR, Grimer RJ, Carter SR, et al. Elastofibroma dorsi: an uncommon benign pseudotumour. Sarcoma 2008;2008:756565.
  22. Sundaram M, McGuire MH, Schajowicz F. Soft-tissue masses: histologic basis for decreased signal (short T2) on T2-weighted MR images. AJR Am J Roentgenol 1987;148: 1247-50. https://doi.org/10.2214/ajr.148.6.1247

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