Elastofibroma dorsi: Report of a case and review of the literatüre

Elastofibroma ilk kez 1961 yılında Jarvi ve Saxen tarafından rapor edilmis tümör benzeri bir proçestir. Tipik olarak yaslılarda özellikle subskapuler bölgede görülen bu benign lezyon yavas büyüyen, solid ve iyi sınırlı olmayan fibroelastik dokudan olusmaktadır. Bu raporda sol skapulasında kitle saptanan 73 yasında bir kadın hastayı sunuyoruz. Kitlenin cerrahi eksizyonu 10 cm çapında iyi sınırlı bir kitle göstermistir. Histolojik olarak kitle matür yağ, sklerotik konnektif doku ve aynı zamanda yaygın eozinofilik depozitler ve bol kollajenden olusmaktadır. Bu depozitlerin elastik doğası elastik boyaması ile gösterilmistir. Elastofibroma, subskapuler sikâyetleri olan yaslı hastalarda düsünülmelidir. Ayrıca gerçek bir neoplazi ya da minör travmaya bağlı reaktif bir lezyon ayrımında sitogenetik ve moleküler çalısmalar gerekmektedir.

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, illdefined 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.

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