Park Minwoo, Kim Sug Won, Yang Chae Eun, Kim Jiye
Department of Plastic and Reconstructive Surgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Korea.
Arch Craniofac Surg. 2025 Apr;26(2):76-79. doi: 10.7181/acfs.2026.0002. Epub 2025 Apr 20.
Elastofibroma is a rare soft tissue tumor that most commonly occurs in the subscapular region. It has also been reported in several other anatomical locations. To our knowledge, no previous reports have described elastofibromas in the anterior aspect of the face. A 36-year-old man with intellectual disability was referred to our department for the evaluation of a painless multinodular lesion on the philtrum. The lesion was initially misdiagnosed as a dermatologic condition by the department of dermatology and was treated accordingly, however, it worsened, prompting referral to our department. We performed a surgical excision of the lesion and reconstructed the resulting skin defect with a skin graft. Histopathological examination confirmed the diagnosis of elastofibroma. This case underscores the importance of including elastofibroma in the differential diagnosis of facial neoplasms, particularly when the presentation is phymatous.
弹力纤维瘤是一种罕见的软组织肿瘤，最常发生于肩胛下区域。也有报道称其出现在其他几个解剖部位。据我们所知，此前尚无关于面部前部弹力纤维瘤的报道。一名36岁的智障男子因唇部无痛性多结节病变被转诊至我科。该病变最初被皮肤科误诊为皮肤病并进行了相应治疗，但病情恶化，促使其转诊至我科。我们对病变进行了手术切除，并用皮肤移植修复了由此产生的皮肤缺损。组织病理学检查确诊为弹力纤维瘤。该病例强调了在面部肿瘤的鉴别诊断中纳入弹力纤维瘤的重要性，尤其是当表现为瘤样时。
