Başkent Üniversitesi Tıp Fakültesi Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, 06490 Bahçelievler, Ankara, Türkiye.
Jt Dis Relat Surg. 2020;31(3):644-647. doi: 10.5606/ehc.2020.74955.
Elastofibroma dorsi (ED) is a rare, benign soft tissue tumor which often occurs in the subscapular region of elderly individuals and shows a female predominance. While many patients remain asymptomatic, ED can cause pain in the periscapular region. The clinical signs of ED are non-specific and variable which can result in misdiagnoses; it is often confused with rotator cuff and cervical spine pathologies. In this article, we present the case of a 78-year-old female patient with persistent back and shoulder pain. The patient was admitted to various clinics over a number of years for diagnostic investigations and treatment. However, the true etiology of back pain was never established and treatments were applied without any positive effect. Finally, when the patient presented to our clinic, a mass was detected in the right subscapular region. Thoracic computed tomography imaging was consistent with a diagnosis of ED. Due to the patient's persistent back pain, surgical excision of the tumor was performed. The pathology report confirmed the diagnosis. This case emphasizes the importance of a thorough examination in patients who may initially only have very subtle signs of the underlying pathology. This case also highlights the importance of re-visiting initial evaluations and differential diagnoses when faced with a difficult case of persistent back and shoulder pain so to avoid misdiagnoses and unnecessary treatments.
背阔肌纤维瘤（ED）是一种罕见的良性软组织肿瘤，常发生于老年人群的肩胛下区域，且以女性多见。虽然许多患者无症状，但 ED 可引起肩胛间区疼痛。ED 的临床体征不具有特异性且多变，可能导致误诊；其常与肩袖和颈椎病变相混淆。本文介绍了一例 78 岁女性患者，其存在持续性背痛和肩部疼痛。该患者多年来在多家诊所就诊，进行了诊断性检查和治疗。然而，背痛的真正病因从未确定，且治疗并未产生任何积极效果。最终，当患者就诊于我院时，在右肩胛下区域发现了一个肿块。胸部计算机断层成像（CT）与 ED 的诊断相符。由于患者持续性背痛，对肿瘤进行了手术切除。病理报告证实了这一诊断。本病例强调了在最初仅表现出非常轻微的潜在病理学迹象的患者中进行全面检查的重要性。本病例还强调了在面对持续性背痛和肩部疼痛的复杂病例时，重新评估初始评估和鉴别诊断的重要性，以避免误诊和不必要的治疗。
