Elastofibroma dorsi: olgu sunumu ve literatürün gözden geçirilmesi

Elastofibroma is a tumorlike process that was first reported by Jarvi and Saxen in 1961. Typically this benign lesion involves almost exclusively the subscapular area of elderly individual and manifests as a slowly growing, solid, ill-defined mass of fibroelastic tissue. We report the case of a 73-year-old woman who was found to have a mass in the left scapula. Surgical excision of the mass revealed a well-delimited lesion 10 cm in largest diameter. Histologically, the mass was composed of mature fat alternating with sclerotic connective tissue, which also contained extensive eosinophilic deposits and abundant collagen. The elastic nature of these deposits was confirmed by elastic staining. Elastofibroma should be considered in the differential diagnosis of subscapular complaints of elderly patients. Cytogenetic and molecular studies are needed to distinguish elastofibroma whether a true neoplasm or a reactive lesion formed by repetitive minor trauma.