title: Elastofibroma dorsi: Clinical evaluation of 61 cases and review of the literature.
abstract: OBJECTIVE
  Elastofibroma dorsi (ED) is a rare, benign, soft tissue tumor typically located between inferior corner of scapula and posterior chest wall causing mass, scapular snapping, and pain. When classic symptoms and localization are present, it is diagnosed without biopsy and treated with marginal resection. This study retrospectively analyzed patients operated on for ED to evaluate presenting symptoms, tumor size, complications, and clinical results, and to suggest optimal treatments.
  
  
  METHODS
  This study included 51 patients who underwent surgery for ED in 2 different clinics between 2005 and 2015. Patient age, gender, profession, side affected, symptoms, average duration of symptoms, and tumor size were researched. Radiological examinations of patients were evaluated. Patients with lesions larger than 5 cm in size were operated on. Postoperative complications, recurrence, and functional results were evaluated using Constant score and compared to preoperative values.
  
  
  RESULTS
  A total of 61 operated lesions of 51 patients clinically and radiologically diagnosed with ED were retrospectively evaluated. Average length of time patient experienced symptoms was 11.21 months. Lesions in 19 (37.2%) patients were bilateral, 10 of which were symptomatic and larger than 5 cm in size, meeting indication for surgery. Average lesion diameter was 8.7 cm. Average follow-up was 26.89 months. Average of preoperative Constant score of 67.28 subsequently increased to 92.88 (p < 0.05). Seroma and hematoma were observed in 11.5% of patients.
  
  
  CONCLUSIONS
  Generally, good clinical results can be obtained with marginal resection without requiring a biopsy, considering classic complaints and radiological appearance of ED.
  
  
  METHODS
  Level IV, Therapeutic study.
authors: Çukurova University Faculty of Medicine, Department of Orthopedics and Traumatology, Adana, Turkey. Electronic address: drmehmetali@hotmail.com.
authors: Mehmet Ali
authors: MA
authors: Deveci
authors: Çukurova University Faculty of Medicine, Department of Orthopedics and Traumatology, Adana, Turkey.
authors: Hilmi Serdar
authors: HS
authors: Özbarlas
authors: Çukurova University Faculty of Medicine, Department of Pathology, Adana, Turkey.
authors: Kıvılcım Eren
authors: KE
authors: Erdoğan
authors: Çukurova University Faculty of Medicine, Department of Orthopedics and Traumatology, Adana, Turkey.
authors: Ömer Sunkar
authors: ÖS
authors: Biçer
authors: Çukurova University Faculty of Medicine, Department of Orthopedics and Traumatology, Adana, Turkey.
authors: Mustafa
authors: M
authors: Tekin
authors: Çukurova University Faculty of Medicine, Department of Orthopedics and Traumatology, Adana, Turkey.
authors: Cenk
authors: C
authors: Özkan
mesh_terms: D004210:Dissection / Q000379:methods*; D005260:Female; D005350:Fibroma / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D019637:Orthopedic Procedures / Q000379:methods*; D010043:Outcome and Process Assessment, Health Care; D011859:Radiography / Q000379:methods; D012189:Retrospective Studies; D012983:Soft Tissue Neoplasms / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D064171:Superficial Back Muscles / Q000000981:diagnostic imaging / Q000473:pathology; D063189:Symptom Assessment / Q000379:methods; D047368:Tumor Burden; D014421:Turkey
keywords: Complications; Elastofibroma dorsi; Marginal resection