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一名有症状男性患者的双侧背侧弹力纤维瘤:手术切除是否合理?病例报告

Bilateral Elastofibroma Dorsi in a Symptomatic Male Patient: Is Surgical Resection Justified? A Case Report.

作者信息

Elkhouly Ahmed Gamal, Hamad Faisal, Al Saud Al Anoud, Ishaq Mohammed Saleh

机构信息

Cardiothoracic Surgery Department, Tanta University, Tanta, Egypt.

Department of Radiology, King Saud Medical City, Riyadh, Saudi Arabia.

出版信息

J Chest Surg. 2025 Sep 5;58(5):205-208. doi: 10.5090/jcs.25.005. Epub 2025 Apr 15.

DOI:10.5090/jcs.25.005
PMID:40230097
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12415427/
Abstract

Elastofibroma dorsi (ED) is a rare, benign, slowly growing soft tissue neoplasm characterized by abnormal elastic fiber proliferation. There is a marked female predominance; bilateral presentation occurs in only 10% of cases. ED is usually located in the infra-scapular area, adherent to the posterior chest wall and ribs. Although many theories have been proposed regarding its pathogenesis, the exact cause remains uncertain. Preoperative diagnosis is established based on clinical picture and radiological imaging. We present a case of a 49-year-old man with bilateral ED who complained of back pain and limited shoulder movement, and who underwent simultaneous bilateral surgical removal; histopathological examination confirmed the diagnosis.

摘要

背部弹力纤维瘤(ED)是一种罕见的、良性的、生长缓慢的软组织肿瘤,其特征为异常的弹性纤维增生。女性明显居多;双侧发病仅占10%的病例。ED通常位于肩胛下区域,附着于后胸壁和肋骨。尽管关于其发病机制提出了许多理论,但确切原因仍不确定。术前诊断基于临床表现和影像学检查。我们报告一例49岁男性双侧ED患者,主诉背痛和肩部活动受限,并接受了双侧同时手术切除;组织病理学检查证实了诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a514/12415427/2135e9499b53/jcs-58-5-205-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a514/12415427/bd83f2b246a5/jcs-58-5-205-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a514/12415427/2135e9499b53/jcs-58-5-205-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a514/12415427/bd83f2b246a5/jcs-58-5-205-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a514/12415427/2135e9499b53/jcs-58-5-205-f2.jpg

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