Kara Murat, Dikmen Erkan, Kara Simay Altan, Atasoy Pinar
Department of Thoracic Surgery, University of Kirikkale, School of Medicine, 71100 Kirikkale, Turkey.
Eur J Cardiothorac Surg. 2002 Nov;22(5):839-41. doi: 10.1016/s1010-7940(02)00475-x.
Elastofibroma dorsi is a rare, slow-growing, ill-defined soft tissue tumor of the chest wall, most commonly located beneath the rhomboid major and latissimus dorsi muscles. It is usually unilateral, and bilateral involvement occurs in only 10% of patients. We report herein a case of a 56-year-old woman with bilateral elastofibroma dorsi. The patient was found to have bilateral involvement of the tumor following a physical examination with proper positioning. An elastofibroma should be considered in the differential diagnosis of tumors deeply located at the periscapular area. Meticulous physical examination may reveal a nonpalpable coexisting tumor with deep subscapular location and help the accurate diagnosis of bilateral elastofibroma dorsi, hence preventing a secondary operation.
背部弹力纤维瘤是一种罕见的、生长缓慢、边界不清的胸壁软组织肿瘤，最常见于背阔肌和菱形肌下方。它通常为单侧性，仅10%的患者会出现双侧受累。我们在此报告一例56岁双侧背部弹力纤维瘤女性患者。该患者在进行适当体位的体格检查后发现肿瘤双侧受累。在鉴别诊断肩胛周围区域深部肿瘤时应考虑弹力纤维瘤。细致的体格检查可能会发现存在一个无法触及的、位于肩胛下深部的并存肿瘤，有助于准确诊断双侧背部弹力纤维瘤，从而避免二次手术。
