Çağlar YILDIRIM, Caner ÖZER, Oğuz KÖKSEL, Ali ÖZDÜLGER, Tuba KARABACAK

Elastofibroma dorsi: Olgu sunumu

Elastofibroma dorsi karakteristik periskapular yerleşimi ile adlandırılan, nadir görülen bir yumuşak doku tümörüdür. Kostalar ile göğüs duvarı kasları arasında gelişir. Otuz beş yaşındaki kadın hasta, sol kürek kemiği alt ucunda şişlik, sol kolun hareketi ile başlayan ağrı yakınması ile başvurdu. Fizik muayenede sol skapula inferoposteriorunda hareketli, yarı-sert, hassasiyeti olmayan, omuz hareketi ile belirginleşen, skapulayı öne-dışa doğru iten kitle belirlendi. Bilgisayarlı tomografide, göğüs duvarı kasları ile kotlar arasında yumuşak doku yoğunluğunda lezyon izlendi. İnsizyonel biyopsi materyalinin frozen section inceleme sonucunun benign tümör olarak belirtilmesi üzerine kitle tamamen eksize edildi. Histopatolojik tanı elastofibroma dorsi olarak kondu. Ameliyat sonrası altıncı ayda hastanın herhangi bir yakınması yoktu.

Elastofibroma dorsi: A case report

Elastofibroma dorsi is a rare soft tissue tumor occurring within the periscapular area between the ribs and dorsal chest wall muscles. A 35-year-old female patient presented with complaints of a swelling at the inferior border of the left scapula and pain on movements of the left arm. On physical examination, a mobile, non-tender, and semi-solid mass was detected in the inferoposterior aspect of the scapula, causing anterolateral displacement of the scapula on shoulder movements. Computed tomography showed a lesion of soft tissue density between the chest wall muscles and ribs. Surgical intervention was planned and an incisional biopsy was performed. Frozen section analysis showed a benign soft tissue tumor and the lesion was totally excised. Histopathologic diagnosis was elastofibroma dorsi. The patient had no complaints during six months postoperatively.

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