Skeletal Radiology

, Volume 47, Issue 4, pp 569–573 | Cite as

Triple elastofibromas located in the supra- and infrascapular regions—a case report

  • Cyprian Olchowy
  • Matías de Albert de Delás-Vigo
  • Manolo Perez
  • Nikaoly Ciriaco
  • Rosa Dominguez Oronoz
Case Report

Abstract

We report a case of triple elastofibromas located in the supra- and infrascapular regions. A 61-year-old female with a history of bilateral elastofibroma in the typical subscapular region (6 years before) was admitted for the evaluation of a left-sided suprascapular mass that she had first noted 3 months before. On physical examination, a firm, painless, mobile mass was palpated in the subcutaneous tissue. The patient had not observed any changes of the two known lesions over the past 6 years. The patient denied a family history of elastofibroma. The signal characteristic on T1- and T2-weighted images as well as contrast enhancement curves on dynamic study was identical in all three masses. Ultrasound-guided biopsy performed before surgical intervention confirmed the diagnosis of elastofibroma. This case report has a teaching value as, to our knowledge, it is the only one in the literature with images of synchronous elastofibromas documented by dynamic contrast-enhanced MRI. In cases of elastofibroma with diagnostic difficulties, particularly in uncommon sites, a dynamic contrast-enhanced MRI may help to establish the proper diagnosis. This case report gives an example of rare multiple elastofibromas, presents current diagnostic imaging methods, and reminds us that elastofibroma is not exclusive to the posterior thoracic region.

Keywords

Elastofibroma Subscapular Suprascapular MR 

Notes

Compliance with ethical standards

The authors declare that they have no conflict of interest. No funding was received for this work. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Informed consent was obtained from the patient described in this case report.

References

  1. 1.
    Jarvi O. Elastofibroma dorsi. Acta Pathol Microbiol Scand. 1961;144:83–4.Google Scholar
  2. 2.
    Nagamine N, Nohara Y, Ito E. Elastofibroma in Okinawa. A clinicopathologic study of 170 cases. Cancer. 1982;50(9):1794–805.CrossRefPubMedGoogle Scholar
  3. 3.
    Battaglia M, Vanel D, Pollastri P, Balladelli A, Alberghini M, Staals E, et al. Imaging patterns in elastofibroma dorsi. Eur J Radiol. 2009;72(1):16–21.CrossRefPubMedGoogle Scholar
  4. 4.
    Hassouna JB, Mezghani B, Laamouri B, Naija L, Abbes I, Slimane M, et al. Triple locations of elastofibroma dorsi: first case report and review. J Orthop. 2015;12:S133–S6.CrossRefPubMedGoogle Scholar
  5. 5.
    Macura KJ, Ouwerkerk R, Jacobs MA, Bluemke DA. Patterns of enhancement on breast MR images: interpretation and imaging pitfalls. Radiographics. 2006;26:1719–34.CrossRefPubMedGoogle Scholar
  6. 6.
    Teixeira PA, Gay F, Chen B, Zins M, Sirveaux F, Felblinger J, et al. Diffusion-weighted magnetic resonance imaging for the initial characterization of non-fatty soft tissue tumors: correlation between T2 signal intensity and ADC values. Skelet Radiol. 2016;45:263–71.CrossRefGoogle Scholar
  7. 7.
    Mirra J, Straub L, Järvi O. Elastofibroma of the deltoid. A case report. Cancer. 1974;33(1):234–8.CrossRefPubMedGoogle Scholar
  8. 8.
    Enjoji M, Sumiyoshi K, Sueyoshi K. Elastofibromatous lesion of the stomach in a patient with elastofibroma dorsi. Am J Surg Pathol. 1985;9(3):233–7.CrossRefPubMedGoogle Scholar
  9. 9.
    Nishida A, Uetani M, Okimoto T, Hayashi K, Hirano T. Bilateral elastofibroma of the thighs with concomitant subscapular lesions. Skelet Radiol. 2003;32(2):116–8.CrossRefGoogle Scholar
  10. 10.
    Bianchi S, Martinoli C, Abdelwahab I, Gandolfo N, Derchi L, Damiani S. Elastofibroma dorsi: sonographic findings. AJR Am J Roentgenol. 1997;169(4):1113–5.CrossRefPubMedGoogle Scholar
  11. 11.
    Kransdorf MJ, Meis J, Montgomery E. Elastofibroma: MR and CT appearance with radiologic-pathologic correlation. AJR Am J Roentgenol. 1992;159(3):575–9.CrossRefPubMedGoogle Scholar
  12. 12.
    Malghem J, Baudrez V, Lecouvet F, Lebon C, Maldague B, Berg BV. Imaging study findings in elastofibroma dorsi. Joint Bone Spine. 2004;71(6):536–41.CrossRefPubMedGoogle Scholar
  13. 13.
    Soler R, Requejo I, Pombo F, Sáez A. Elastofibroma dorsi: MR and CT findings. Eur J Radiol. 1998;27(3):264–7.CrossRefPubMedGoogle Scholar

Copyright information

© ISS 2017

Authors and Affiliations

  • Cyprian Olchowy
    • 1
  • Matías de Albert de Delás-Vigo
    • 2
  • Manolo Perez
    • 2
  • Nikaoly Ciriaco
    • 3
  • Rosa Dominguez Oronoz
    • 2
  1. 1.Department of RadiologyMedical University of WroclawWrocławPoland
  2. 2.Department of RadiologyVall d’Hebron University HospitalBarcelonaSpain
  3. 3.Department of PathologyVall d’Hebron University HospitalBarcelonaSpain

Personalised recommendations