Ngoy April, Tchalukov Konstantin, Pollock Gabriel, Thomson Bryon, Nguyen Christopher
Department of Radiology, Kaweah Health, Visalia, USA.
Department of Radiology, Riverside University Health System Medical Center, Moreno Valley, USA.
Cureus. 2023 Jul 5;15(7):e41425. doi: 10.7759/cureus.41425. eCollection 2023 Jul.
Elastofibroma dorsi (EFD) is an uncommon benign tumor of mesenchymal origin that usually occurs in the subscapular region. Bilateral and triple EFD are frequently reported in the literature but cases with more lesions have never been described. Our patient is a 50-year-old female with quadruple locations of bilateral suprascapular and subscapular EFD who presented with left shoulder pain and swelling over the affected area. Clinical presentation, computed tomography (CT) and magnetic resonance imaging (MRI), and biopsy were consistent with EFD. Therapeutic excision was performed and successfully alleviated the patient's discomfort. This report presents the first case of quadruple locations of EFD and highlights the value of MRI in the diagnosis of EFD, especially when there are multiple masses with indistinct margins are deeply located in the chest wall.
背部弹力纤维瘤（EFD）是一种罕见的间叶组织来源的良性肿瘤，通常发生于肩胛下区域。双侧和三联EFD在文献中常有报道，但病变更多的病例从未被描述过。我们的患者是一名50岁女性，双侧肩胛上和肩胛下区域有四处EFD，表现为左肩疼痛及患区肿胀。临床表现、计算机断层扫描（CT）、磁共振成像（MRI）及活检结果均符合EFD。实施了治疗性切除，成功缓解了患者的不适。本报告展示了首例EFD四处病变的病例，并强调了MRI在EFD诊断中的价值，尤其是当多个边界不清的肿块深位于胸壁时。
