Elastofibroma Dorsi, a Rare Condition, with Challenging Diagnosis. Case Report and Literature Review.

Autor: Neagoe O; First Department of Surgery, Second Discipline of Surgical Semiology, 'Victor Babeș' University of Medicine and Pharmacy, Eftimie Murgu Sq. Nr.2, 300041 Timișoara, Romania., Faur CI; Department of Orthopedics, 'Victor Babeș' University of Medicine and Pharmacy, Eftimie Murgu Sq. Nr.2, 300041 Timișoara, Romania., Ionică M; Department of Functional Sciences, Discipline of Pathophysiology, 'Victor Babeş' University of Medicine and Pharmacy, 300041 Timişoara, Romania., Baderca F; Department of Microscopic Morphology, 'Victor Babeș' University of Medicine and Pharmacy, Eftimie Murgu Sq. Nr.2, 300041 Timișoara, Romania., Folescu R; Department of Balneology, Medical Recovery and Rheumatology, 'Victor Babeș' University of Medicine and Pharmacy, Eftimie Murgu Sq. Nr.2, 300041 Timișoara, Romania., Gurgus D; Department of Balneology, Medical Recovery and Rheumatology, 'Victor Babeș' University of Medicine and Pharmacy, Eftimie Murgu Sq. Nr.2, 300041 Timișoara, Romania., Zamfir CL; Department of Morpho-Functional Sciences I, 'Grigore T. Popa' University of Medicine and Pharmacy, 16 Universitatii Str., 700115 Iași, Romania., Motoc A; Department of Anatomy and Embryology, 'Victor Babeș' University of Medicine and Pharmacy, Eftimie Murgu Sq. Nr.2, 300041 Timisoara, Romania., Grigoraș ML; Department of Anatomy and Embryology, 'Victor Babeș' University of Medicine and Pharmacy, Eftimie Murgu Sq. Nr.2, 300041 Timisoara, Romania., Mazilu O; First Department of Surgery, Second Discipline of Surgical Semiology, 'Victor Babeș' University of Medicine and Pharmacy, Eftimie Murgu Sq. Nr.2, 300041 Timișoara, Romania.
Jazyk: angličtina
Zdroj: Medicina (Kaunas, Lithuania) [Medicina (Kaunas)] 2021 Apr 12; Vol. 57 (4). Date of Electronic Publication: 2021 Apr 12.
DOI: 10.3390/medicina57040370
Abstrakt: Elastofibroma dorsi (ED) is known as a particular clinical and biological entity. We report a case of a bilateral elastofibroma dorsi (ED) in a 65-year-old female who presented to the Department of General and Oncologic Surgery of Emergency Clinical Municipal Hospital Timisoara, Romania. The patient was symptomatic on the right side, presenting pain in the interscapulothoracic region associated with a variable tumoral mass, dependent on the position of the right arm. Imaging studies revealed a well-defined, bilateral tumoral mass with alternation of the muscular and fatty tissue. The initial diagnosis of lipoma was taken into consideration based on the CT scan and clinical findings. Surgical excision of the right subscapular tumor was performed without any postoperative complications. Microscopic examination of hematoxylin and eosin, Masson's trichrome, and orcein stained slides revealed the diagnosis of ED. Considering the high rate of reported postoperative complications and the asymptomatic presentation of the contralateral subscapular mass, the patient underwent clinical and imagistic monitoring for the contralateral tumor. Due to its rare nature, ED is a difficult preoperative diagnosis that can, however, be suggested by its specific location and may require an accurate histopathological examination for a final diagnosis.
Databáze: MEDLINE