title: Bilateral elastofibroma dorsi: A case report.
abstract: BACKGROUND
  Elastofibroma dorsi(EFD) is slow-growing, benign, soft tissue tumor of unclear pathogenesis, typically located at the subscapular region of elderly people. It may be unilateral or bilateral. As it exhibits benign behavior, it should be surgically removed only in symptomatic patients. Magnetic resonance imaging (MRI) is a useful tool for assessment of EFD and can potentially help avoid the need for unnecessary biopsy and surgery.
  
  
  METHODS
  A 62-year-old woman presented with 2 years complaint of back pain, particularly aggravated with shoulder movements and swelling with bilateral elastofibroma dorsi. Both masses were totally excised with bilateral posterolateral subscapular incision. Symptoms were completely controlled and significant discomfort from the surgical procedure was completely resolved with in a few weeks interval from the operation.
  
  
  CONCLUSIONS
  The pathogenesis of the EFD still remains unclear. Elastofibroma dorsi has an unspecific clinical presentation and can be confused with other tumors of the periscapular region Imaging studies are useful for diagnosis.
  
  
  CONCLUSIONS
  Elastofibroma dorsi is benign soft tissue tumor mostly observed in the subscapular regions of elderly female patients. The surgery is indicated in symptomatic cases and must be confined to simple excision of the lesion.
authors.affiliation: Department of General Surgery, Kadirli State Hospital, Osmaniye, Turkey. Electronic address: isamilsarici@hotmail.com.
authors.forename: Inanc Samil
authors.initials: IS
authors.lastname: Sarici
authors.affiliation: Department of Radıology, Kadirli State Hospital, Osmaniye, Turkey.
authors.forename: Elif
authors.initials: E
authors.lastname: Basbay
authors.affiliation: Department of Orthopedics, Kadirli State Hospital, Osmaniye, Turkey.
authors.forename: Mehdi
authors.initials: M
authors.lastname: Mustu
authors.affiliation: Department of Respiratory Diseases, Kadirli State Hospital, Osmaniye, Turkey.
authors.forename: Burak
authors.initials: B
authors.lastname: Eskut
authors.affiliation: Department of General Surgery, Kadirli State Hospital, Osmaniye, Turkey.
authors.forename: Ferhat
authors.initials: F
authors.lastname: Kala
authors.affiliation: Istanbul Medical Faculty, Department of General Surgery, Istanbul University, Istanbul, Turkey.
authors.forename: Orhan
authors.initials: O
authors.lastname: Agcaoglu
authors.affiliation: Istanbul Medical Faculty, Department of General Surgery, Istanbul University, Istanbul, Turkey.
authors.forename: Murat
authors.initials: M
authors.lastname: Akici
authors.affiliation: Istanbul Medical Faculty, Department of General Surgery, Istanbul University, Istanbul, Turkey.
authors.forename: Enver
authors.initials: E
authors.lastname: Ozkurt
keywords: Elastofibroma dorsi; Magnetic resonance imaging; Surgery