Hoven-Gondrie Miriam L, IJpma Frank F A, Havenith Miek G, van Geldere Dick
Isala klinieken, locatie Sophia, Zwolle, The Netherlands.
Ned Tijdschr Geneeskd. 2009;153:A569.
Two female patients, 63 and 67 years old, visited the outpatient department with a growing soft tissue swelling bilaterally in the subscapular region. Using CT imaging and core needle biopsy, the first patient was diagnosed with an 'elastofibroma dorsi'. Because of the benign character of this lesion an expectative policy was followed. In the second patient the swelling was resected unilaterally without preoperative clinical and radiological confirmation of the diagnosis. Pathological examination revealed the typical characteristics of an elastofibroma. As there were no symptoms, the contralateral lesion was not excised. Elastofibromas are benign, soft tissue tumours, for which resection is only indicated if they are symptomatic. To prevent unnecessary anxiety, medical investigations and interventions, on encountering subscapular soft tissue tumours, elastofibroma dorsi should be considered.
两名女性患者，年龄分别为63岁和67岁，因双侧肩胛下区域软组织肿胀逐渐增大而前来门诊就诊。通过CT成像和粗针活检，第一名患者被诊断为“背部弹力纤维瘤”。由于该病变的良性特征，采取了观察等待策略。第二名患者在未进行术前临床和影像学诊断确认的情况下，单侧切除了肿胀组织。病理检查显示出弹力纤维瘤的典型特征。由于没有症状，对侧病变未切除。弹力纤维瘤是良性软组织肿瘤，只有在出现症状时才考虑切除。为避免不必要的焦虑、医学检查和干预，遇到肩胛下软组织肿瘤时，应考虑背部弹力纤维瘤。
