弹性纤维瘤是一种良性软性肿瘤,由胶原和脂肪组织背景中的弹性纤维组成。然而,多发性弹性纤维瘤的出现被认为是罕见的情况。我们报告了一名39岁的男子在过去三个月内向我们的全科诊所就诊,抱怨上背部肿胀。肿胀是完全无痛的。它与上覆皮肤的溃疡无关。他报告说,肿胀的大小没有增加。没有厌食症的病史,减肥,或者在创伤之前。在检查中,由于肿块性病变,双肩活动范围正常,无限制.为了进一步表征肿块病变,患者接受了胸部计算机断层扫描。它显示了双侧双凸状肩胛骨下肿块病变,其定义不明确,但与相邻骨骼肌的衰减相似,并且存在散布的脂肪条纹。这些发现代表了弹性纤维瘤的诊断。然而,患者担心这些病变的恶性可能性,并坚持进行手术切除。组织病理学结果证实了弹性纤维瘤的诊断。弹性纤维瘤是一种良性软组织肿瘤,在大多数情况下都是偶然诊断的。然而,多发性弹性纤维瘤,在目前的情况下,被认为是不寻常的。该病例显示了弹性纤维瘤的放射学和组织病理学特征。影像学表现是特征性的,可以防止不必要的活检或手术干预。然而,如果有临床指征,手术切除被认为是治愈性的。
Elastofibroma is a benign soft tumor that is composed of elastic fibers in a background of collagenous and adipose tissue. However, the presence of multiple elastofibromas is considered a rare occasion. We report the case of a 39-year-old man who presented to our general practice clinic with a complaint of upper back swelling for the last three months. The swelling was completely painless. It was not associated with ulceration of the overlying skin. He reported that the swelling had not been increasing in size. There was no history of anorexia, weight loss, or preceding trauma. On examination, both shoulders had a normal range of motion with no restriction due to the mass lesions. To further characterize the mass lesions, the patient underwent a computed tomography scan of the thorax. It demonstrated bilateral lenticular subscapular mass lesions that were ill-defined but had similar attenuation to that of adjacent skeletal muscle along with the presence of interspersed streaks of fat. Such findings represent the diagnosis of
elastofibroma. However, the patient was concerned about the possibility of the malignant nature of these lesions and insisted on having the surgical resection of the mass. The histopathological findings confirmed the diagnosis of
elastofibroma. Elastofibroma is a benign soft tissue tumor that is diagnosed incidentally in the majority of cases. However, multiple
elastofibroma, as in the present case, is considered unusual. The case demonstrated the radiological and histopathological features of
elastofibroma. The imaging findings are characteristics and can prevent unnecessary biopsy or surgical intervention. However, if clinically indicated, surgical resection is considered curative.