Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
권호 표지
DOI QR코드

DOI QR Code

Bilateral Elastofibroma Dorsi of the Shoulder - Case Report -

견갑부에 발생한 양측성 배부 탄성섬유종 - 증례 보고 -

  • Lee, Woo-Seung (Department of Orthopaedic Surgery, Seoul Veterans Hospital) ;
  • Kim, Taik-Seon (Department of Orthopaedic Surgery, Seoul Veterans Hospital) ;
  • Kim, Young-Bae (Department of Orthopaedic Surgery, Seoul Veterans Hospital) ;
  • Kang, Jong-Woo (Department of Orthopaedic Surgery, Seoul Veterans Hospital)
  • 이우승 (서울보훈병원 정형외과) ;
  • 김택선 (서울보훈병원 정형외과) ;
  • 김영배 (서울보훈병원 정형외과) ;
  • 강종우 (서울보훈병원 정형외과)
  • Published : 2007.12.15
Download PDF
⟨ Previous Next ⟩

Abstract

We report a case of an 86-year-old man diagnosed with bilateral elastofibroma dorsi who was managed conservatively after a two year follow-up. An elastofibroma dorsi is a benign, slow-growing tumor that is most often located in the inferior periscapular area in elderly patients. It should be considered to differentiate them from other soft tissue tumors located at the inferior periscapular region. Increased awareness of these characteristics will decrease the incidence of a misdiagnosis of elastofibroma dorsi as a malignancy and avoid unnecessary surgery.

86세의 고령의 남자 환자에서 발생한 견관절부 양측성 배부 탄성섬유종을 침 생검으로 확진하고 2년간 경과 관찰한 경험을 보고하고자 한다. 배부 탄성섬유종은 주로 고령의 환자에서 견갑골 하각 주변부에서 발생하는 양성 종양으로, 저자에 따라 발생 빈도에 대한 보고가 다양하다. 이에 대한 수술적 치료는 일반적으로 필요하지 않으며, 제한적인 경우에서도 변연부 절제술만으로 충분하다. 노인의 견갑골 하각 주변부에 발생한 종괴의 감별진단 시에는 반드시 배부 탄성섬유종을 포함하여야 하며, 이로 인하여 불필요한 수술적 치료는 피해야 한다.

Keywords

References

  1. Brandser EA, Goree JC, El-Khoury GY: Elastofibroma dorsi. Prevalence in an elderly patient population as revealed by CT. AJR, 171: 977-980, 1998. https://doi.org/10.2214/ajr.171.4.9762978
  2. Daigeler A, Vogt PM, Busch K, et al: Elastofibroma dorsi. Differential diagnosis in chest wall tumours. World J Surg Oncol, 5:15, 2007. https://doi.org/10.1186/1477-7819-5-15
  3. Dalal A, Miller TT, Kenan S: Sonographic detection of elastofibroma dorsi. J Clin Ultrasound, 31: 375-378, 2003. https://doi.org/10.1002/jcu.10184
  4. Domanski HA, Carlen B, Sloth M, Rydholm A: Elastofibroma dorsi has distinct cytomorphologic features, making diagnostic surgical biopsy unnecessary. Cytomorphologic study with clinical, radiologic, and electron microscopic correlations. Diagn Cytopathol, 29: 327-333, 2003. https://doi.org/10.1002/dc.10381
  5. Fibla J, Molins L, Marco V, Perez J, Vidal G: Bilateral elastofibroma dorsi. Joint Bone Spine. 74: 194-196, 2007. https://doi.org/10.1016/j.jbspin.2006.02.017
  6. Hwang IH, Kim JW, Kyun OS, Park HB: Elastofibroma dorsi as a cause of snapping scapula. J Korean Shoulder Elbow Soc, 8: 154-157, 2005. https://doi.org/10.5397/CiSE.2005.8.2.154
  7. Jarvi OH, Saxen E: Elastofibroma dorsi. Acta Pathol Microbiol Scand, 51: 83-84, 1961.
  8. Kang HG, Cho HS, Park WS, Lee JH, Kim HS: Elastofibroma scapulae. J Korean Bone Joint Tumor Soc, 12: 118-124, 2006.
  9. Malghem J, Baudrez V, Lecouvet F, Lebon C, Maldague B, Vande Berg B: Imaging study findings in elastofibroma dorsi. Joint Bone Spine, 71: 536-541, 2004. https://doi.org/10.1016/j.jbspin.2004.04.006
  10. Nagamine N, Nohara Y, Ito E: Elastofibroma in Okinawa. A clinicopathologic study of 170 cases. Cancer, 50:1794-1805, 1982. https://doi.org/10.1002/1097-0142(19821101)50:9<1794::AID-CNCR2820500925>3.0.CO;2-L