Elastofibroma dorsi. A two hospital experience

Background: Elastofibroma dorsi considered a rare benign soft-tissue tumor localized infrascapular. Could be localized also bilateral. Aim of the study to present, strategy for treatment, operative technique, complications and literature review. Methods: During a 10year period a retrospective study took place. Twenty nine (29) 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 (25) female (86,206%) and two (4) male (13,793 %), aged 43-82 years mean age 70 years. Six female patients had bilateral tumor. All tumors were located infrascapular. Conclusion: Elastofibroma dorsi is a rare benign tumor seen in elderly female patients. Could be unilateral or bilateral. Biopsy usually performed exclude soft tissue sarcoma. CT Scan and MRI may help in diagnosis especially if it is located bilateral. Surgical excision, marginal excision of the tumor can be performed when patient in pain with minimal morbidity. Minimal drainage required for almost two days. In case of seroma a needle aspiration by a syringe and anti-inflammatory oral medication seems that is really helpful. Also a few sutures below the incision may be very helpful to minimize the free space. The radical surgical excision is the gold standard.