Elastofibroma dorsi: evaluating the sufficiency of magnetic resonance in diagnosis and the time of surgical treatment


  • Devrim Ozer Department of Orthopaedics and Traumatology, MS Baltalimani Bone Diseases Training and Research Hospital, Istanbul, Turkey http://orcid.org/0000-0001-7108-9864
  • Yavuz Arikan Department of Orthopaedics and Traumatology, MS Baltalimani Bone Diseases Training and Research Hospital, Istanbul, Turkey
  • Cantay Gok Department of Radiology, MS Baltalimani Bone Diseases Training and Research Hospital, Istanbul, Turkey




Diagnosis, Elastofibroma dorsi, MRI findings, Surgery


Background: Elastofibroma dorsi is a rarely seen fibroelastic pseudotumor. While radiological evaluation can be best done with magnetic resonance imaging (MRI), biopsy may be additionally required in diagnosis. Surgical excision of the tumor is recommended in painful cases, however, many cases can be treated and followed with conservative methods. In our study, we evaluated the features and sufficiency of MRI in diagnosis, the growth extent of the masses and the need for surgical treatment.

Methods: Eight lesions of the five patients diagnosed and followed up in our clinic between the years 2014 and 2017 were included in the study. All patients were female and had a mean age of 60.4 (50-68). Lesions were bilaterally located in three patients. Seven lesions were diagnosed with MRI and one was diagnosed with biopsy. The size of the lesions at the time of diagnosis and final follow-up and differences in the radiological features were evaluated by the same experienced radiologist using MRI. Complaints of the patients were evaluated, and their clinical examinations were performed.

Results: The mean period of follow-up was 22.4 (8-42) months. The masses had a mean diameter of 59.5 (40-75)mm in the craniocaudal plane and 59.4 (40-70) x 22.4 (10-36)mm in the axial plane at the time of diagnosis and a mean diameter of 60.5 (40-75)mm in the craniocaudal plane and 61 (43-70) x 22.6 (10-36)mm in the axial plane at the final follow-up. At the final follow-up, two patients had three lesions without pain and three patients had five lesions with mild pain. No movement limitation was observed.

Conclusions: Typical MRI findings were observed in all lesions (including the one that was performed biopsy) and biopsy was not planned for the lesions with typical findings. All lesions were followed by conservative management and no discontent was reported by the patients. Surgical treatment was planned in case of severe pain, rapid growth and advanced clinical symptoms.



Jarvi OH. Elastofibroma dorsi. Acta Pathol Microbiol Scand. 1961; 114: 83-4.

Muratori F, Esposito M, Rosa F, Liuzza F, Magarelli N, Rossi B, Folath HM, Pacelli F, Maccauro G. Elastofibroma dorsi: 8 case reports and a literature review. J Orthopaed Traumatol. 2008 Mar;9(1):33-7

Kransdorf MJ, Meis JM, Montgomery E. Elastofibroma: MR and CT appearance with radiologic-pathologic correlation. AJR. Am J Roentgenol. 1992 Sep;159(3):575-9.

Dinauer PA, Brixey CJ, Moncur JT, Fanburg-Smith JC, Murphey MD. Pathologic and MR imaging features of benign fibrous soft-tissue tumors in adults. Radiographics. 2007 Jan;27(1):173-87.

Schick S, Zembsch A, Gahleitner A, Wanderbaldinger P, Amann G, Breitenseher M, et al. Atypical appearance of elastofibroma dorsi on MRI: case reports and review of the literature. J Computer Assisted Tomography. 2000 Mar 1;24(2):288-92.

Giebel GD, Bierhoff E, Vogel J. Elastofibroma and pre-elastofibroma-a biopsy and autopsy study. Eur J Surgical Oncol. 1996 Feb 1;22(1):93-6.

Nagamine N, Nohara Y, Ito E. Elastofibroma in Okinawa. A clinicopathologic study of 170 cases. Cancer. 1982 Nov 1;50(9):1794-805.

El Hammoumi M, Qtaibi A, Arsalane A, El Oueriachi F, Kabiri EH. Elastofibroma dorsi: clinicopathological analysis of 76 cases. Korean J Thoracic Cardiovasc Surg. 2014 Apr;47(2):111.

Karrakchou B, Yaikoubi Y, Chairi MS, Jalil A. Elastofibroma dorsi: case report and review of the literature. Pan African Med J. 2017;28(1).

Nagano S, Yokouchi M, Setoyama T, Sasaki H, Shimada H, Kawamura I, et al. Elastofibroma dorsi: Surgical indications and complications of a rare soft tissue tumor. Molecular Clin Oncol. 2014 May 1;2(3):421-4.

Nishio J, Isayama T, Iwasaki H, Naito M. Elastofibroma dorsi: diagnostic and therapeutic algorithm. J Shoulder Elbow Surg. 2012 Jan 1;21(1):77-81.

Go PH, Meadows MC, Marie B deLeon E, Chamberlain RS. Elastofibroma dorsi: a soft tissue masquerade. Int J Shoulder Surg. 2010 Oct;4(4):97-101

Benign fibroblastic/myofibroblastic proliferations, including superficial fibromatoses. Enzinger and Weiss’s Soft Tissue Tumors. ED: Goldblum JR, Folpe AL, Weiss SW. Philadelphia; 2014:220-224.

Daigeler A, Vogt PM, Busch K, Pennekamp W, Weyhe D, Lehnhardt M, et al. Elastofibroma dorsi–differential diagnosis in chest wall tumours. World J Surg Oncol. 2007 Dec;5(1):15.

Bartocci M, Dell'Atti C, Meacci E, Congedo MT, Magarelli N, Bonomo L, et al. Clinical features, imaging findings, treatment aspects of elastofibroma dorsi and long-term outcomes after surgical resection. Eur Rev Med Pharmacol Sci. 2017 May 1;21(9):2061-8.

Fletcher CD. Pathology and genetics of tumors of soft tissue and bone. World Health Organization Classification of Tumors. 2002;4:35-46.

Kastner M, Salai M, Fichman S, Heller S, Dudkiewicz I. Elastofibroma at the scapular region. Israel Med Assoc J. 2009 Mar 1;11(3):170-2.

Faccioli N, Foti G, Comai A, Cugini C, Guarise A, Mucelli RP. MR imaging findings of elastofibroma dorsi in correlation with pathological features: our experience. Med Radiol. 2009 Dec 1;114(8):1283.

Minarro JC, Urbano-Luque MT, López-Jordan A, Roman-Torres M, Carpintero-Benítez P. The comparison of measurement accuracy among three different imaging modalities in evaluating elastofibroma dorsi. an analysis of 52 cases. Int Orthopaed. 2015 Jun 1;39(6):1145-9.

Briccoli A, Casadai R, Di Renzo M, Favale L, Bacchini P, Bertoni F. Elastofibroma dorsi. Surg Today. 2000;30(2):147-52.

Schafmayer C, Kahlke V, Leuschner I, Pai M, Tepel J. Elastofibroma dorsi as differential diagnosis in tumors of the thoracic wall. Ann Thoracic Surg. 2006 Oct 1;82(4):1501-4.

Cakmak G, Ergün T, Şahin MŞ. Arthroscopic excision of elastofibroma dorsi at scapulothoracic joint: a surgical technique. Joint Dis Related Surg. 2014;25(2):117-20.






Original Research Articles