Home
Issues
Aim & Scope
Open Access
Indexing
Why publish with us
Contact
Editorial Board
Instructions to Authors (PDF)
Manuscript Types
Manuscript Formatting
How to submit
Preprints
Authorship & COI
Principles of Transparency Checklist
Publication Ethics and Publication Malpractice Statement
Data Policies
REVIEW
Chest Elastofibroma – Elastofibroma Dorsi
| 1 | Pulmonary Department Corfu General Hospital |
| 2 | Radiology Department Primary Health National Network of Corfu |
| 3 | Orthopedic Department Corfu General Hospital |
| 4 | Iaso General Hospital, Athens |
| 5 | Cytology Lab, Corfu, Greece |
CORRESPONDING AUTHOR
Pneumon 2017;30(3):157–164
KEYWORDS
ABSTRACT
Chest wall primary tumors include a broad spectrum of benign and malignant tumors. Tumor biopsy is essential to set diagnosis. This rule does not apply to the elastofibroma dorsi. Elstofibroma is an unusual, well defined tumor of soft tissues typically located in the peri-scapular region, composed of characteristic abnormal elastinophilic fibers and adipose tissue. It affects mainly elderly people and especially women. In magnetic resonance imaging and computed tomography elastofibroma presents a characteristic layered pattern of fatty and fibrous tissue. The typical location and the characteristic imaging pattern set the diagnosis of elastofibroma without the need for biopsy. Biopsy is required in atypical cases to exclude malignancy, especially sarcoma. In asymptomatic cases, simple monitoring is sufficient. Surgical excision is recommended for serious symptoms and diagnostic doubt. The prognosis is excellent. No case of malignant transformation has been described.
REFERENCES (46)
1.
Athanassiadi K, Kalavrouziotis G, Rondogianni D, Loutsidis A, Hatzimichalis A, Bellenis I. Primary chest wall tumors: early and long-term results of surgical treatment. Eur J Cardiothorac Surg 2001; 19:589-93.
2.
Leuzzi G, Nachira D, Cesario A, et al. Chest wall tumors and prosthetic reconstruction: A comparative analysis on functional outcome. Thorac Cancer 2015; 6:247-54.
3.
Jarvi OH, Saxen AE. Elastofibroma dorsi. Acta Pathologica et Microbiologica Scandinavica 1961;144, supplement 52:83–4.
4.
Faccioli N, Foti G, Comai A, Cugini C, Guarise A, Mucelli RP. MR imaging findings of elastofibroma dorsi in correlation with pathological features: our experience. Radiol Med 2009; 114:1283–91.
5.
Go PH, Meadows MC, Deleon EM, Chamberlain RS. Elastofibroma dorsi: a soft tissue masquerade. Int J Shoulder Surg 2010; 4:97–101.
6.
Fletcher CD, Unni KK, Mertens F. eds. World Health Organisation Classification of Tumors. Pathology and genetics of tumors of soft tissue and bone; elastofiroma. Lyon: IARC Press, 2002; pp. 56-7.
7.
Naylor MF, Nascimento AG, Sherrick AD, McLeod RA. Elastofibroma dorsi: Radiologic findings in 12 patients. Am J Roentgenol 1996; 167:683–7.
8.
Nagamine N, Hohara Y, Ito E. Elastofibroma in Okinawa: a clinicopathologic study of 170 cases. Cancer 1982; 50:1794–805.
9.
Blumenkrantz Y, Bruno GL, González CJ, Namías M, Osorio AR, Parma P. Characterization of Elastofibroma Dorsi with (18)FDG PET/CT: a retrospective study. [Article in English, Spanish] Rev Esp Med Nucl 2011;30:342-5.
10.
Freixinet J, Rodríguez P, Hussein M, Sanromán B, Herrero J, Gil R. Elastofibroma of the thoracic wall. Interact CardioVasc Thorac Surg 2008; 7:626-8.
11.
Karakurt O, Kaplan T, Gunal N, et al. Elastofibroma dorsi management and outcomes: review of 16 cases. Interact Cardiovasc Thorac Surg 2014;18:197-201.
12.
Brandser EA, Goree JC, El-Khoury GY. Elastofibroma dorsi: prevalence in an elderly patient population as revealed by CT. AJR Am J Roentgenol 1998; 171:977–80.
13.
Braham E, Hergli I, Boudaya MS, et al. Elastofibroma of scapula: a case report and literature review. Ann Transl Med 2013; 1: 31.
14.
Haini D, Giannopoulos I, Kardamis S, et al. Bilateral chest elastofibroma. Pneumon 2016; 29:360.
15.
Goyal A, Jain D, Bhat I, Singh S. A Unique Case of Pancreatic Mass due to Pancreatic Elastofibromatosis. Case Rep Gastrointest Med 2016; 2016:2697187.
16.
Chandrasekar CR, Grimer RJ, Carter SR, et al. Elastofibroma Dorsi: An Uncommon Benign Pseudotumour. Sarcoma. 2008; 2008: 756565. Published online 2008 Mar 12.
17.
Prete PE, Henbest M, Michalski JP, Porter RW. Intraspinal elastofibroma. A case report. Spine 1983; 8:800–2.
18.
De Nictolis M, Goteri G, Campanati G, Prat J. Elastofibrolipoma of the mediastinum. A previously undescribed benign tumor containing abnormal elastic fibers. Am J Surg Pathol 1995; 19:364–7.
19.
Mohan JC, Goel PK, Gambhir DS, Khanna SK, Arora R. Calcified mobile papillary fibroelastoma of the tricuspid valve: a case report. Indian Heart J 1987; 39:237–9.
20.
Kapff PD, Hocken DB, Simpson RHW. Elastofibroma of the hand. Journal of Bone & Joint Surgery 1987; 69-B468–9.
21.
Cross DL, Mills SE, Kulund DN. Elastofibroma arising in the foot. South Med J 1984; 77:1194–6.
22.
Daigeler A, Vogt PM, Busch K, et al. Elastofibroma dorsi – differential diagnosis in chest wall tumours. World J Surg Oncol 2007; 5:15.
23.
Mirra JM, Straub LR, Järvi OH. Elastofibroma of the deltoid: a case report. Cancer 1974; 33:234–8.
24.
Saint-Paul M, Musso S, Cardot-Leccia N, et al. Elastofibroma of the stomach. Pathol Res Pract 2003;199:637–9.
25.
Ishida M, Iwai M, Kagotani A, Iwamoto N, Okabe H. Elastofibromatous change of the intestine: report of four lesions from three patients with review of the literature. International Journal of Clinical and Experimental Pathology 2014;7:2291–7.
26.
Sakatani T, Shomori K, Adachi H, Hosoda A, Ito H. Elastofibroma of the sigmoid colon. Pathology Research and Practice 2000; 196:205–7.
27.
Tsutumi A, Kawabata K, Taguchi K, Doi K. Elastofibroma of the greater omentum. Acta Oathol Jpn 1985; 35:233–41.
28.
Shimizu S, Yasui C, Tateno M, et al. Multiple elastofibromas. J Am Acad Dermatol 2004; 50:126–9.
29.
Nagano S, Yokouchi M, Setoyama T, et al. Elastofibroma dorsi: Surgical indications and complications of a rare soft tissue tumor. Mol Clin Oncol 2014;2:421-4.
30.
Jarvi OH, Lansimies PH. Subclinical elastofibromas in the scapular region in an autopsy series. Acta Pathol Microbiol Scand A 1975; 83:87–108.
31.
Giebel GD, Bierhoff E, Vogel J. Elastofibroma and pre-elastofibroma – A biopsy and autopsy study. Eur J Surg Oncol 1996; 22:93–6.
32.
Devaney D, Livesley P, Shaw D. Elastofibroma dorsi: MRI diagnosis in a young girl. Paediatric Radiology 2005; 25:282–3.
33.
Di Vito A, Scali E, Ferraro G, et al. Elastofibroma dorsi: a histochemical and immunohistochemical study. Eur J Histochem 2015; 59:2459.
34.
Kakudo N, Morimoto N, Ogawa T, Hihara M, Koseki R, Kusumoto K. Elastofibroma dorsi: a case report with an immunohistochemical and ultrastructural studies. Med Mol Morphol 2016;49:42-7.
35.
Falidas E, Arvanitis D, Anyfantakis G, et al. Painful Elastofibroma Dorsi: A Report of a Case and a Brief Review of the Literature. Case Rep Orthop 2013; 2013:794247.
36.
Pessoa J, Sasso AA, Barreto MM, Zanetti GM, Marchiori E. Bilateral elastofibroma dorsi. Radiol Bras 2016; 49:61.
37.
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.
38.
Malghem J, Baudrez V, Lecouvet F, Lebon C, Maldague B, Vande Berg B. Imaging study findings in elastofibroma dorsi. Joint Bone Spine 2004; 71:536–1.
39.
Onishi Y, Kitajima K, Senda M, et al. FDG-PET/CT imaging of elastofibroma dorsi. Skeletal Radiology 2011; 40:849–53.
40.
Cota C, Solivetti F, Kovacs D, Cristiani R, Amantea A. Elastofibroma dorsi: histologic and echographic considerations. Int J Dermatol 2006; 45:1100–3.
41.
Bianchi S, Martinoli C, Abdelwahab IF, Gandolfo N, Derchi LE, Damiani S. Elastofibroma dorsi: sonographic findings. AJR Am J Roentgenol 1997; 169:1113–5.
42.
Solivetti FM, Bacaro D, Di Luca Sidozzi A, Cecconi P. Elastofibroma dorsi: ultrasound pattern in three patients. J Exp Clin Cancer Res 2003; 22:565–9.
43.
Vastamaki M. Elastofibroma scapulae. Clinical Orthopaedics & Related Research 2001; 392:404–8.
44.
Smith HG, Hannay JA, Thway K, et al. Elastofibroma dorsi: The clunking tumour that need not cause alarm. Ann R Coll Surg Engl 2016; 98:208-11.
45.
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.
46.
Dixon AY, Lee SH. An ultrastructural study of elastofibromas. Hum Pathol 1980; 11:257-62.
RELATED ARTICLE
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.