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Calista D. 1, Riccioni L. 2
1 Unità Operativa di Dermatologia, Ospedale M. Bufalini, Cesena, Italia;
2 Servizio di Anatomia e Istologia Patologica, Unità Operativa di Dermatologia, Ospedale M. Bufalini Cesena, Italia
Elastofibroma is a rare fibroelastic pseudotumor of the soft tissue of the thoracic wall. It occurs most frequently in the subscapular region of elderly patients, mostly female. Some authors believe that the friction of the scapula on the chest wall may favor its onset in individuals with a predisposition for this pseudotumor. Clinically, it presents as a round, mobile mass with a tense-elastic consistency. Elastofibroma is commonly mistaken as a malignant neoplasm because of its size, and its location deep in the periscapular muscles. A differential diagnosis to sarcoma and desmoid tumors is required and should be assessed with a histological examination. Since it is a benign lesion, surgery is only recommended for symptomatic cases.
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