Elastofibroma dorsi. our experience and literature review

Background: Elastofibroma dorsi is a rare benign soft-tissue tumor with a characteristic location and imaging appearance. Aim of the study to present, strategy for treatment, operative technique and literature review. Methods: During a 7year period a retrospective study took place. Twelve (12) patients treated for Elastofibroma dorsi, at Thoracic Surgery Department at General Hospital of Nicaea-Piraeus Agios Panteleimon –and Department of Thoracic Surgery, Oncological Hospital of Kifisia-Agioi Anargyroi, Athens Greece. Results: Ten (10) female (83,333%) and two (2) male (16,667 %), aged 45-81 years mean age 69 years. Four female patients had bilateral tumor. All tumors were located infrascapular. Conclusion: Elastofibroma dorsi is a rare benign tumor seen in elderly patients. Located Infrascapular deep to the fascia and attachment to the ribs suggest the possibility of soft tissue sarcoma. Could be unilateral or bilateral. MRI may help in diagnosis especially if it is located bilateral. Biopsy usually performed to exclude soft tissue sarcoma. Surgical excision, marginal excision of the tumor can be performed when patient in pain with minimal morbidity. Minimal drainage required for almost two days. The radical surgical excision is the gold standard.