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.
Elastofibroma Subscapular Suprascapular MR
This is a preview of subscription content, log in to check access.
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.
Jarvi O. Elastofibroma dorsi. Acta Pathol Microbiol Scand. 1961;144:83–4.Google Scholar
Nagamine N, Nohara Y, Ito E. Elastofibroma in Okinawa. A clinicopathologic study of 170 cases. Cancer. 1982;50(9):1794–805.CrossRefGoogle Scholar
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.CrossRefGoogle Scholar
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.CrossRefGoogle Scholar
Macura KJ, Ouwerkerk R, Jacobs MA, Bluemke DA. Patterns of enhancement on breast MR images: interpretation and imaging pitfalls. Radiographics. 2006;26:1719–34.CrossRefGoogle Scholar
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
Mirra J, Straub L, Järvi O. Elastofibroma of the deltoid. A case report. Cancer. 1974;33(1):234–8.CrossRefGoogle Scholar
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.CrossRefGoogle Scholar
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
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.CrossRefGoogle Scholar
Kransdorf MJ, Meis J, Montgomery E. Elastofibroma: MR and CT appearance with radiologic-pathologic correlation. AJR Am J Roentgenol. 1992;159(3):575–9.CrossRefGoogle Scholar
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.CrossRefGoogle Scholar
Soler R, Requejo I, Pombo F, Sáez A. Elastofibroma dorsi: MR and CT findings. Eur J Radiol. 1998;27(3):264–7.CrossRefGoogle Scholar