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Query: UMLS:C0030193 (pain)
 261,466 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Elastofibroma dorsi was diagnosed in a 76-year-old woman with bilateral subscapular tumor masses and a 3-year history of recurrent, right-sided scapular pain. A bilateral tumor extirpation was performed and the patient left the hospital free of symptoms 10 days later. We suggest that both constant trauma with resulting excessive elastin production and collagen degeneration might play a major role in the pathogenesis of this rare proliferative lesion.
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PMID:Bilateral elastofibroma dorsi. 141 41

Elastofibroma dorsi is a benign soft-tissue tumor characterized by the presence of elastic fibers among a stroma of collagenous and fatty connective tissue. This lesion characteristically is located in the subscapular region; however, it has been infrequently described in other anatomic locations. In the subscapular region, it can be a cause of periscapular pain, discomfort, and loss of range of motion. This paper presents a typical case and a brief review of the literature, concentrating on the clinical aspects of elastofibroma dorsi in addition to recent advances regarding the pathogenesis of this unusual lesion.
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PMID:Elastofibroma dorsi. A case report and review of the literature. 265 48

Elastofibroma dorsi was diagnosed in seven patients at the Columbia-Presbyterian Medical Center between 1976 and 1986. The ages of the patients ranged from 6 to 79 years (mean 49.3 years). No sex predominance was seen. Five cases of unilateral subscapular tumor and two cases of bilateral masses were identified. Four patients had pain with arm motion, and the remaining patients were free of symptoms. A nonencapsulated soft tissue mass elevating the scapula was identified by computed tomography. Incisional biopsy was performed in all cases, followed by local excision of the tumor. On gross examination, these lesions were firm and rubbery. Histologic evaluation demonstrated a slightly hypercellular fibrous tissue that contained variable numbers of fragmented elastic fibers. All patients with symptomatic tumors had complete relief of their pain after the operation. No recurrences were observed. Clinically, elastofibroma may mimic sarcoma and fibromatosis (extraabdominal desmoid tumors). Whether elastofibroma is a true neoplasm or a reactive fibrous lesion that produces not only collagen, but also abnormal elastic fibers, has been the subject of controversy and remains undetermined.
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PMID:Elastofibroma dorsi: benign chest wall tumor. 275 56

Elastofibroma is an uncommon soft tissue lesion that most often presents as a mass in the lower scapular region of elderly female subjects. The authors report an elastofibroma arising in the right forefoot of a 63-year-old woman. Pain over the plantar aspect of the head of the third metatarsal preceded the formation of a tender mass. Although rare, elastofibroma should be considered in the differential diagnosis of painful conditions and tumors of the forefoot.
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PMID:Elastofibroma of the forefoot. 784 72

Scapular pain is a common complaint in daily orthopedic practice. A different type of scapular discomfort, the snapping scapula syndrome that occurs when smooth gliding motion of the scapula upon the chest wall is interfered with is much less common. We studied the syndrome of periscapular pain and discomfort, and present a rare etiology: elastofibroma dorsi, a unique, benign, soft tissue-tumor with unique characteristics. Elastofibroma appears deep to the lower scapular pole, is often bilateral, and consists of a mixture of collagen, elastic fibers and fibroblasts. We present 6 cases, in 3 men and 3 women aged 51-65.
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PMID:[Elastofibroma, a rare cause of snapping scapula syndrome]. 1241 72

Elastofibroma dorsi, named for its characteristic location, is a benign soft tissue tumour occurring most often in the infrascapular region of elderly women. It has been infrequently reported in other anatomic locations. Elastofibroma is a rare non-encapsulated benign tumour characterised by the proliferation of elastin fibres in a stroma of collagenous and fatty connective tissue. This presents as an obvious swelling deep to the scapula, making the scapula prominent, causing periscapular pain, discomfort and loss of range of motion in the shoulder. This article presents a typical case and a brief review of the literature. The clinical aspects and the characteristic magnetic resonance findings are discussed to help emphasise the fact that these tumours are entirely innocuous and need not be subjected to surgical excision.
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PMID:Elastofibroma dorsi--a case report and review of literature. 1505 73

Elastofibroma is a rare entity most commonly seen in subscapular region. Elastofibrolipoma was first described by De Nictolis et al (Am J Surg Pathol. 1995;19:364-367) as a capsulated mass, composed of mature fat, abnormal elastic fibers, and connective tissue, at the anterior mediastinum. A 57-year-old woman with a periscapular pain and a mass at the left subscapular region was admitted at the department of thoracic surgery. Histologic sections of the well-circumscribed 6.5 x 5 x 3.5-cm rubbery mass revealed a collagenous stroma containing eosinophilic globules and fragmented fibers intermixed with mature adipose tissue surrounded by a thin fibrous capsule. The elastic nature of these eosinophilic fibers and globules was confirmed with Verhoeff's elastic stain. The lesion was diagnosed as elastofibrolipoma, a recently recognized lesion with an unclear origin. Here we discuss if it is a variant of elastofibroma or lipoma.
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PMID:Subscapular elastofibroma intermingled with adipose tissue: variant type of elastofibroma or lipoma? 1630 62

Elastofibroma dorsi is a benign, slow-growing soft tissue tumor. Poorly symptomatic, it raises an important differential diagnosis with benign and malignant tumors of the subscapular region, and with a differential diagnosis with shoulder pain and snapping scapula. It is seen in elderly women and occurs more frequently in the subscapular region, although it has been reported in several locations. We report the case of a 58-year-old woman who presented with upper gastrointestinal bleeding. During the physical examination, a mass was found in the right subscapular region. Months later, the patient presented with pain on right arm motion and an increase in the size of the mass. Complete surgical excision was performed. The patient is free of symptoms with no recurrences of the tumor so far. Consider this benign tumor if a lipoma-like nodule or mass becomes symptomatic.
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PMID:Elastofibroma dorsi: an unusual case of a subscapular nodular mass. 1704 56

Elastofibroma dorsi (ED) is a rare, benign, often bilateral lesion of the thoracic wall, occurring most commonly in the infra-scapular region beneath the muscular tissue, generally found in elderly women. Whether ED should be considered as a true neoplasm or merely as a reaction of connective tissue to repetitive minor trauma is still debated. ED has characteristic features but a low incidence and is therefore not always easily distinguished from other benign and malignant soft-tissue tumors. Inappropriate treatment may thus be administrated in the absence of a definitive diagnosis. We report a case of a 51-year-old woman who presented with a right infra-scapular swelling associated with pain and a clicking sensation during selective arm movements. Upon clinical and ultrasound examination, the lesion had the appearance of a deep dorsal lipoma, but intraoperative findings were suggestive of a sarcoma originating from the periosteum of ribs. Nonetheless, marginal surgical excision was performed and the tumor was histologically diagnosed as ED. In conclusion, ED should be always considered in the differential diagnosis of tumors deeply located in the infra-scapular area, especially in elderly women. As it is a benign lesion, surgical treatment is recommended only in symptomatic cases or if a large swelling is present.
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PMID:[Elastofibroma dorsi: case report and review of the literature]. 1714 50

Elastofibroma dorsi is a rare, benign, soft tumor located at the inferior pole of the scapula. We report a series of 8 patients (5 women, 3 men), with a mean age of 67 years (range, 44-80 years), and discuss the clinical presentation, diagnosis, and treatment. Six lesions were unilateral, and 2 were bilateral. All patients were referred from other clinics with a large, unknown tumor of the back. Two patients presented with symptoms of pain and clunking of the scapula on shoulder abduction. Five underwent simple excision of the tumor. Preoperative diagnosis by magnetic resonance imaging showed agreement with the histopathologic diagnosis. Three patients had the postoperative complication of hematoma formation. Presumptive diagnosis is possible by careful clinical examination and magnetic resonance imaging. Because postoperative hematoma is unexpectedly frequent and symptomatic, radical resection should be avoided, and only excisional biopsy is necessary for histopathologic diagnosis.
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PMID:Elastofibroma dorsi: diagnosis and treatment. 1756 Aug 7


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