Common swelling of the dorsal thoracic wall brings an unexpected finding: elastofibroma dorsi

  • Sotirios Kotoulas Faculty of Medicine, Charles University in Prague, Pilsen, Czechia.
  • Konstantinos Grapatsas Department of Thoracic Surgery, Medical Center-University of Freiburg, Germany.
  • Charalampos Georgiou Department of Thoracic Surgery, Bioclinic, Athens, Greece.
  • Zoi Tsilogianni Department of Pneumonology, Attikon University Hospital of Athens, Greece.
  • Vasileios Leivaditis Department of Thoracic Surgery, First Affiliated Hospital of Medical College of Shantou University, Germany.
  • Mariana Braga Lopes Rufino Faculty of Medicine, Charles University in Prague, Pilsen, Czechia.
  • Christophoros Kotoulas | xkot67@otenet.gr Department of Thoracic Surgery, Bioclinic, Athens, Greece.

Abstract

Elastofibroma is a rare benign, soft-tissue slow-growing tumor seen predominantly in elderly females. We present such a case in a 46-year-old female. She presented with gradually increasing soft tissue swelling of 8×6 cm in the right inferior subscapular region. MRI showed a large intramuscular lesion with atypia. She underwent excisional biopsy and the histopathology and immunochemistry showed elastofibroma. We present this rare case to emphasize the important role of the diagnostic tools. A definitive diagnosis helps to avoid unnecessary wide and radical resection.

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Published
2020-01-21
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Issue
Section
Pneumology - Case Reports
Keywords:
Benign, tumor, thoracic wall, surgery, MRI
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How to Cite
Kotoulas, S., Grapatsas, K., Georgiou, C., Tsilogianni, Z., Leivaditis, V., Rufino, M. B. L., & Kotoulas, C. (2020). Common swelling of the dorsal thoracic wall brings an unexpected finding: elastofibroma dorsi. Monaldi Archives for Chest Disease, 90(1). https://doi.org/10.4081/monaldi.2020.1159