Department of Radiological Sciences, Catholic University of the "Sacred Heart", Polyclinic Gemelli Foundation, School of Medicine, Rome, Italy.
Eur Rev Med Pharmacol Sci. 2017 May;21(9):2061-2068.
We aim to present clinical features, imaging findings, treatment aspects of the elastofibroma dorsi (ED), which is a benign tumor arising from connective tissue at the scapular region, and long-term outcomes after surgical resection.
We evaluated retrospectively 82 patients (55 females, 27 males; mean age, 60 years; age range, 23-78 years) with ED who underwent surgery between January 1994 and May 2014; subsequently all patients were invited for follow-up, which consisted of physical and US examinations.
Subscapular location was almost constant (79/82 patients). Right, left and bilateral location was noted in 39, 28 and 15 cases, respectively. 52/82 patients were symptomatic. The diagnosis was made on physical examination and imaging studies: 49 ultrasound, 43 computed tomography and 54 magnetic resonance examinations were performed overall. Surgical treatment consisted in marginal excision; in all cases diagnosis was confirmed by histological examination. The mean hospitalization was 3 days, with minor complications. Out of the 82 patients, only 25 gave their consent to follow-up; mean time passed after surgery was 64.7 months; 1 case of local recurrence was suspected by ultrasound and, then, confirmed by magnetic resonance imaging.
In our series, clinical features and imaging findings of ED are consistent with current evidence; however, results of our follow-up group marks a difference from the literature, according to which there is no evidence of local recurrence after complete resection. Diagnosis of ED is based on clinical and imaging features; treatment is surgical, especially in symptomatic cases. Prolonging the clinical and US follow-up period may be useful in identifying local recurrence.
我们旨在介绍肩胛部弹性纤维瘤（ED）的临床特征、影像学表现和治疗方法，这是一种起源于肩胛区结缔组织的良性肿瘤，并报告其手术切除后的长期结果。
我们回顾性评估了 1994 年 1 月至 2014 年 5 月期间接受手术治疗的 82 例 ED 患者（55 例女性，27 例男性；平均年龄 60 岁；年龄范围 23-78 岁）；随后所有患者均受邀接受随访，随访内容包括体格检查和超声检查。
肩胛下区域是 ED 最常见的发病部位（79/82 例）。右侧、左侧和双侧发病的患者分别有 39、28 和 15 例。52/82 例患者有症状。体格检查和影像学检查均有助于诊断：49 例行超声检查，43 例行 CT 检查，54 例行 MRI 检查。手术治疗为边缘切除；所有病例均通过组织学检查确诊。平均住院时间为 3 天，且并发症轻微。82 例患者中，仅 25 例同意接受随访；术后平均随访时间为 64.7 个月；1 例患者超声检查怀疑局部复发，随后 MRI 检查证实。
在我们的研究中，ED 的临床特征和影像学表现与目前的证据一致；然而，我们的随访结果与文献报道存在差异，根据文献报道，完全切除后无局部复发的证据。ED 的诊断基于临床和影像学特征；治疗方法为手术，特别是在有症状的病例中。延长临床和超声随访时间可能有助于发现局部复发。
