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Ann Thorac Surg 2006;82:1501-1504
© 2006 The Society of Thoracic Surgeons

Case Reports

Elastofibroma Dorsi as Differential Diagnosis in Tumors of the Thoracic Wall

Clemens Schafmayer, MDa, Volker Kahlke, MD, PhDa, Ivo Leuschner, MD, PhDb, Madhava Pai, MDc, Juergen Tepel, MDa,*

a Department for General Surgery and Thoracic Surgery, Kiel, Germany
b Institute for General Pathology, University Hospital of Schleswig-Holstein, Campus Kiel, Kiel, Germany
c Department of HPB Surgery, Hammersmith Hospital, London, United Kingdom

Accepted for publication October 17, 2005.

* Address correspondence to Dr Tepel, Department for General Surgery and Thoracic Surgery, University Hospital of Schleswig-Holstein, Campus Kiel Arnold-Heller-Strasse 7, Kiel, 24105 Germany (Email: apries{at}chirurgie-sh.de).

We report the case of a 73-year-old woman who presented with a soft tissue tumor located between the scapula and the rib cage. Magnetic resonance imaging showed an inhomogeneous tumor on the right dorsolateral thoracic wall that measured 7 x 4 x 7 cm with contrast enhancement. The findings were suggestive of partial infiltration of intercostal muscles and were suspicious of a malignant tumor. After local excision at a district hospital had failed to render definitive diagnosis, the patient underwent complete resection of the tumor at our institution. Histology from the specimen was consistent with elastofibroma dorsi with free resection margins.




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