Yáñez S, Val-Bernal J F, Echevarría M A, Landeras R, Izquierdo J, Gallardo E
Servicio de Dermatología, Hospital Universitario Marqués de Valdecilla, Santander, España.
Actas Dermosifiliogr. 2008 Oct;99(8):644-7.
Elastofibroma dorsi is a benign lesion of fibroelastic tissue. It often presents bilaterally, is frequently localized to the subscapular region, and is more common in middle-aged and elderly women. The pathogenesis is still unclear but it has been suggested to involve reactive, degenerative, or neoplastic processes. We present a retrospective study of the findings from 6 patients with elastofibroma dorsi. Elastofibroma should be included in the differential diagnosis of subcutaneous scapular tumors, as it is a benign lesion that only requires surgery when associated with symptoms or the lesion is extensive. Noninvasive techniques such as ultrasonography, computed tomography, and, above all, magnetic resonance imaging, may be sufficient to guide diagnosis. The results of histology and imaging are closely correlated, so the need for unnecessary biopsy and surgery may be avoided.
背部弹力纤维瘤是一种纤维弹性组织的良性病变。它常双侧出现，多局限于肩胛下区域，在中老年女性中更为常见。其发病机制尚不清楚，但有人认为可能涉及反应性、退行性或肿瘤性过程。我们对6例背部弹力纤维瘤患者的检查结果进行了一项回顾性研究。背部弹力纤维瘤应列入肩胛下皮下肿瘤的鉴别诊断范围，因为它是一种良性病变，只有在出现症状或病变范围广泛时才需要手术治疗。超声、计算机断层扫描等非侵入性技术，尤其是磁共振成像，可能足以指导诊断。组织学和影像学结果密切相关，因此可以避免不必要的活检和手术。
