Haihua R, Xiaobing W, Jie P, Xinxin H
First Clinical Medical College of Shanxi Medical University, Taiyuan, Shanxi Province, China.
R Haihua and W Xiaobing are co-first authors.
Ann R Coll Surg Engl. 2020 Feb;102(2):84-93. doi: 10.1308/rcsann.2019.0089. Epub 2019 Jun 24.
Elastofibroma is a rare soft-tissue tumour. This study retrospectively analysed and summarised the clinical, imaging and typical pathological features, together with the short- and long-term surgical outcomes of patients with pathologically confirmed soft-tissue elastofibroma to improve their management.
We enrolled 73 patients with pathologically confirmed soft-tissue elastofibroma from January 2010 to December 2018. The general, clinical, diagnostic and treatment-related data, operation notes, pathological examination results and follow-up status were obtained by reviewing inpatient medical records. Disease onset age, sex, tumour location and size were statistically analysed using the chi square and rank sum tests.
A total of 90 lesions from 73 patients were examined. Among these, 56 patients had single lesions: 27 were under the right scapula, 26 were under the left scapula, 1 at the umbilicus, 1 on the aortic valve, 1 on the right hip and 17 at the bilateral inferior angles of the scapula. The average age at onset was 56.4 years (range: 6-82 years). The male-to-female incidence ratio was about one to three. Tumour diameter and follow-up duration ranged from 2cm to 12cm and from one month to nine years, respectively; recurrence was not observed. The main postoperative complication was wound effusion, occurring in 24 sites among the 90 lesions, corresponding to an incidence rate of 26.7%.
A correct diagnosis of elastofibroma can be made prior to surgical resection by examining typical clinical features and characteristic imaging findings. Short- and long-term outcomes of local excision are good, with no further recurrence.
弹力纤维瘤是一种罕见的软组织肿瘤。本研究回顾性分析并总结了经病理确诊的软组织弹力纤维瘤患者的临床、影像及典型病理特征，以及手术的短期和长期结果，以改善对其的管理。
我们纳入了2010年1月至2018年12月经病理确诊的73例软组织弹力纤维瘤患者。通过查阅住院病历获取一般情况、临床、诊断和治疗相关数据、手术记录、病理检查结果及随访情况。采用卡方检验和秩和检验对发病年龄、性别、肿瘤部位和大小进行统计学分析。
共检查了73例患者的90个病灶。其中，56例患者为单发病灶：27个位于右肩胛下，26个位于左肩胛下，1个位于脐部，1个位于主动脉瓣，1个位于右髋部，17个位于双侧肩胛下角。平均发病年龄为56.4岁（范围：6 - 82岁）。男女发病率之比约为1比3。肿瘤直径和随访时间分别为2cm至12cm和1个月至9年；未观察到复发。主要术后并发症为伤口积液，90个病灶中有24个部位出现，发生率为26.7%。
通过检查典型临床特征和特征性影像表现，可在手术切除前对弹力纤维瘤做出正确诊断。局部切除的短期和长期效果良好，无进一步复发。
