Mehmet Ali DEVECİ, Hilmi Serdar ÖZBARLAS, KIVILCIM EREN ERDOĞAN, ÖMER SUNKAR BİÇER, MUSTAFA TEKİN, CENK ÖZKAN

Elastofibroma dorsi: Clinical evaluation of 61 cases and review of theliterature

Objective: ElastoŞbroma dorsi (ED) is a rare, benign, soft tissue tumor typically located between inferiorcorner of scapula and posterior chest wall causing mass, scapular snapping, and pain. When classicsymptoms and localization are present, it is diagnosed without biopsy and treated with marginalresection. This study retrospectively analyzed patients operated on for ED to evaluate presentingsymptoms, tumor size, complications, and clinical results, and to suggest optimal treatments.Methods: This study included 51 patients who underwent surgery for ED in 2 different clinics between2005 and 2015. Patient age, gender, profession, side affected, symptoms, average duration of symptoms,and tumor size were researched. Radiological examinations of patients were evaluated. Patients withlesions larger than 5 cm in size were operated on. Postoperative complications, recurrence, and functional results were evaluated using Constant score and compared to preoperative values.Results: A total of 61 operated lesions of 51 patients clinically and radiologically diagnosed with ED wereretrospectively evaluated. Average length of time patient experienced symptoms was 11.21 months.Lesions in 19 (37.2%) patients were bilateral, 10 of which were symptomatic and larger than 5 cm in size,meeting indication for surgery. Average lesion diameter was 8.7 cm. Average follow-up was 26.89months. Average of preoperative Constant score of 67.28 subsequently increased to 92.88 (p< 0.05).Seroma and hematoma were observed in 11.5% of patients.Conclusion: Generally, good clinical results can be obtained with marginal resection without requiring abiopsy, considering classic complaints and radiological appearance of ED.Level of evidence: Level IV, Therapeutic study.© 2016 Turkish Association of Orthopaedics and Traumatology. Publishing services by Elsevier B.V. This isan open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)

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