Bilateral elastofibroma dorsi: proper positioning for an accurate diagnosis.
Elastofibroma dorsi is a rare, slow-growing, ill-defined soft tissue tumor of the chest wall, most commonly located beneath the rhomboid major and latissimus dorsi muscles. It is usually unilateral, and bilateral involvement occurs in only 10% of patients. We report herein a case of a 56-year-old woman with bilateral elastofibroma dorsi. The patient was found to have bilateral involvement of the tumor following a physical examination with proper positioning. An elastofibroma should be considered in the differential diagnosis of tumors deeply located at the periscapular area. Meticulous physical examination may reveal a nonpalpable coexisting tumor with deep subscapular location and help the accurate diagnosis of bilateral elastofibroma dorsi, hence preventing a secondary operation.
Kara
Murat
M
Department of Thoracic Surgery, University of Kirikkale, School of Medicine, 71100 Kirikkale, Turkey. muratkara66@hotmail.com
Dikmen
Erkan
E
Kara
Simay Altan
SA
Atasoy
Pinar
P
D005260:Female; D005350:Fibroma / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary / Q000175:diagnosis*; D010808:Physical Examination / Q000379:methods; D011187:Posture; D012983:Soft Tissue Neoplasms / Q000175:diagnosis*; D013899:Thoracic Neoplasms / Q000175:diagnosis*; D035441:Thoracic Wall