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Eur J Cardiothorac Surg 2002;22:839-841
© 2002 Elsevier Science NL

Case report

Bilateral elastofibroma dorsi: proper positioning for an accurate diagnosis

^a Department of Thoracic Surgery, University of Kirikkale, School of Medicine, 71100 Kirikkale, Turkey
^b Department of Radiology, University of Kirikkale, School of Medicine, 71100 Kirikkale, Turkey
^c Department of Pathology, University of Kirikkale, School of Medicine, 71100, Kirikkale, Turkey

Received 17 June 2002; received in revised form 15 July 2002; accepted 30 July 2002.

* Corresponding author. Esenlik sokak 7/10, TR-06540, Asaiayranci, Ankara, Turkey. Tel.: +90-318-225-4511; fax: +90-318-225-2819
e-mail: muratkara66{at}hotmail.com

Elastofibroma dorsi is a rare, slow-growing, ill-defined soft tissue tumor of the chest wall, most commonly located beneath the rhomboid major and latissimus dorsi muscles. It is usually unilateral, and bilateral involvement occurs in only 10% of patients. We report herein a case of a 56-year-old woman with bilateral elastofibroma dorsi. The patient was found to have bilateral involvement of the tumor following a physical examination with proper positioning. An elastofibroma should be considered in the differential diagnosis of tumors deeply located at the periscapular area. Meticulous physical examination may reveal a nonpalpable coexisting tumor with deep subscapular location and help the accurate diagnosis of bilateral elastofibroma dorsi, hence preventing a secondary operation.

Key Words: Elastofibroma • Thoracic surgery

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