asurgeryАмбулаторная хирургияAmbulatornaya khirurgiya = Ambulatory Surgery (Russia)2712-87412782-2591ООО «ГРУППА РЕМЕДИУМ»10.21518/akh2023-030asurgery-403Research ArticleОБМЕН ОПЫТОМEXCHANGE OF EXPERIENCE | PRACTICEЭластофиброма: обзор литературы и клиническое наблюдениеElastofibroma: a literature review and clinical casehttps://orcid.org/0000-0003-4488-9123БолдинБ. В.BoldinB. V.

Болдин Борис Валентинович, д.м.н., профессор, заведующий кафедрой факультетской хирургии №2 

117997, Москва, ул. Островитянова, д. 1

Boris V. Boldin, Dr. Sci. (Med.), Professor, Head of the Department of Faculty Surgery No. 2 

1, Ostrovityanov St., Moscow, 117997

facultysurgery@gmail.comhttps://orcid.org/0000-0003-4265-577XЦуканВ. Ю.TsukanV. Yu.

Цукан Валерия Юрьевна, студентка международного факультета 

117997, Москва, ул. Островитянова, д. 1

Valeriia Yu. Tsukan, Student of the International Faculty 

1, Ostrovityanov St., Moscow, 117997

valeriya_tskn@mail.ruhttps://orcid.org/0000-0003-4298-950XДизенгофИ. М.DizengofI. M.

Дизенгоф Игорь Михайлович, к.м.н., ассистент кафедры факультетской хирургии №2; заместитель главного врача по хирургии 

117997, Москва, ул. Островитянова, д. 1;119071, Москва, Ленинский проспект, д. 27

Igor M. Dizengof, Cand. Sci. (Med.), Assistant of the Department of Faculty Surgery No. 2; Deputy Chief Physician for Surgery 

1, Ostrovityanov St., Moscow, 117997;27, Leninsky Ave., Moscow, 119071

idizengof@yandex.ruСергеевА. А.SergeevA. A.

Сергеев Андрей Анатольевич, к.м.н., ассистент кафедры факультетской хирургии №2; заведующий хирургическим отделением 

117997, Москва, ул. Островитянова, д. 1;119071, Москва, Ленинский проспект, д. 27

Andrei A. Sergeev, Cand. Sci. (Med.), Assistant of the Department of Faculty Surgery No. 2; Head of the Surgical Department 

1, Ostrovityanov St., Moscow, 117997;27, Leninsky Ave., Moscow, 119071

doc-serg-@inbox.ruhttps://orcid.org/0009-0005-5124-7913КолесоваС. И.KolesovaS. I.

Колесова Софья Игоревна, врач-хирург 

119071, Москва, Ленинский проспект, д. 27

Sofia I. Kolesova, Surgeon 

27, Leninsky Ave., Moscow, 119071

sofy.smith007@gmail.comКобзаревД. А.KobzarevD. A.

Кобзарев Дмитрий Алексеевич, заведующий отделением рентгенодиагностики с МРТ-кабинетом, врач-рентгенолог 

119071, Москва, Ленинский проспект, д. 27

Dmitrii A. Kobzarev, Head of the Department of X-Ray Diagnostics with an MRI Room, Radiologist 

27, Leninsky Ave., Moscow, 119071

Sem0102@yandex.ruРоссийский национальный исследовательский медицинский университет имени Н.И. ПироговаРоссияPirogov Russian National Research Medical UniversityRussian FederationЦентральная клиническая больница Святителя Алексия Митрополита Московского Московской Патриархии Русской Православной ЦерквиРоссияCentral Clinical Hospital of St Alexis Metropolitan of Moscow of the Moscow Patriarchy of the Russian Orthodox ChurchRussian Federation202330112023202202208Copyright © Болдин Б.В., Цукан В.Ю., Дизенгоф И.М., Сергеев А.А., Колесова С.И., Кобзарев Д.А., 20232023Болдин Б.В., Цукан В.Ю., Дизенгоф И.М., Сергеев А.А., Колесова С.И., Кобзарев Д.А.Boldin B.V., Tsukan V.Y., Dizengof I.M., Sergeev A.A., Kolesova S.I., Kobzarev D.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.a-surgeon.ru/jour/article/view/403

Эластофиброма – это редко встречающаяся медленно растущая доброкачественная опухоль мягких тканей, характеризующаяся типичным расположением в подлопаточной области. Она имеет мезенхимальное происхождение и состоит из пролиферирующей волокнистой и жировой ткани с эластическими и коллагеновыми волокнами в составе. Боль и дискомфорт в подлопаточной области, ограничение при движении – характерные жалобы для пациентов с эластофибромой, однако отсутствие клинических симптомов и непростая дифференциальная диагностика затрудняют выбор тактики лечения. Авторы приводят собственное клиническое наблюдение: пациентка, 70 лет, обратилась к хирургу в клинико-диагностический центр Центральной клинической больницы Святителя Алексия Митрополита Московского с жалобами на безболезненное опухолевидное подкожное образование в области нижнего угла правой лопатки. Отметила наличие данного образования 5 лет назад, в течение этого времени опухоль постепенно росла. При осмотре на спине по нижнему краю правой лопатки определяется объемное опухолевидное образование в форме шара размером 7,5 × 6,0 × 2,0 см, мягкоэластичной консистенции. При пальпации безболезненное, не спаянное с кожей. Кожа над образованием не изменена. Был установлен предварительный диагноз «липома спины». Диагноз «эластофиброма» был установлен после проведения ультразвукового исследования задней грудной стенки, мультиспиральной компьютерной томографии грудной клетки. Для дифференциальной диагностики пункционный биопсийный материал был отправлен на гистологическое исследование, результат которого подтвердил диагноз «эластофиброма». Наблюдательная тактика в данном случае является предпочтительной, так как эластофиброма не сопровождается болезненными ощущениями, ограничением подвижности, не приносит дискомфорта при движении. Таким образом, на данный момент методы визуализации позволяют установить точный диагноз, но для дифференциальной диагностики необходимо проведение гистологического исследования. Однако подтвержденный гистологически диагноз не всегда является показанием к оперативному вмешательству. В большинстве случаев при отсутствии клинических проявлений в лечении придерживаются наблюдательной тактики. 

Elastofibroma is a rare, slow growing, benign soft tissue tumor characterized by a typical location in the subscapularis. It has a mesenchymal origin and consists of proliferating fibrous and adipose tissue with elastic and collagen fibers in its composition. Pain and discomfort in the subscapular region, restriction on movement are typical complaints for patients with elastofibroma, however, the absence of clinical symptoms and difficult differential diagnosis make it difficult to choose treatment tactics. A 70-year-old patient applied to a surgeon at the Clinical Diagnostic Center of the Central Clinical Hospital of St Alexis with complaints of a painless tumor-like subcutaneous mass in the region of the lower angle of the right scapula. She noted the presence of this formation 5 years ago, during this time the tumor gradually grew. When viewed on the back along the lower edge of the right shoulder blade, a volumetric tumor-like formation in the form of a ball measuring 7.5 × 6.0 × 2.0 cm, soft-elastic consistency is determined. On palpation, painless, not soldered to the skin. The skin over the formation is not changed. A preliminary diagnosis was established lipoma of the back. The diagnosis of elastofibroma was established after ultrasound of the posterior chest wall, MSCT of the chest. For differential diagnosis, the puncture biopsy material was sent for histological examination, the result of which confirmed the diagnosis of elastofibroma. Observational tactics in this case is preferable, since elastofibroma is not accompanied by pain, limitation of mobility, and does not bring discomfort when moving. Thus, at the moment, imaging methods allow establishing an accurate diagnosis, but histological examination is necessary for differential diagnosis. However, a histologically confirmed diagnosis will not always be an indication for surgery. In most cases, in the absence of clinical manifestations, observational tactics are followed in the treatment.

эластофибромадоброкачественная опухоль мягких тканейопухоль грудной стенкилипома спинылипосаркомафибромаelastofibromabenign soft tissue tumorchest wall tumorback lipomaliposarcomafibromaReferencesJärvi OH, Saxén AE, Hopsu-Havu VK, Wartiovaara JJ, Vaissalo VT. Elastofibroma – a degenerative pseudotumor. Cancer. 1969;23(1):42–63. https://doi.org/10.1002/1097-0142(196901)23:1%3C42::aid-cncr2820230105%3E3.0.co;2-#.Järvi OH, Saxén AE, Hopsu-Havu VK, Wartiovaara JJ, Vaissalo VT. Elastofibroma – a degenerative pseudotumor. Cancer. 1969;23(1):42–63. https://doi.org/10.1002/1097-0142(196901)23:1%3C42::aid-cncr2820230105%3E3.0.co;2-#.Kransdorf MJ, Meis JM, Montgomery E. Elastofibroma: MR and CT appearance with radiologic-pathologic correlation. AJR Am J Roentgenol. 1992;159(3):575–579. https://doi.org/10.2214/ajr.159.3.1503030.Kransdorf MJ, Meis JM, Montgomery E. Elastofibroma: MR and CT appearance with radiologic-pathologic correlation. AJR Am J Roentgenol. 1992;159(3):575–579. https://doi.org/10.2214/ajr.159.3.1503030.Mangham DC. World Health Organisation classification of tumours: pathology and genetics of tumours of soft tissue and bone. J Bone Joint Surg Br. 2004;86-B(3):466–466. https://doi.org/10.1302/0301-620X.86B3.0860466b.Mangham DC. World Health Organisation classification of tumours: pathology and genetics of tumours of soft tissue and bone. J Bone Joint Surg Br. 2004;86-B(3):466–466. https://doi.org/10.1302/0301-620X.86B3.0860466b.Freixinet J, Rodríguez P, Hussein M, Sanromán B, Herrero J, Gil R. Elastofibroma of the thoracic wall. Interact Cardiovasc Thorac Surg. 2008;7(4):626–628. https://doi.org/10.1510/icvts.2007.174722.Freixinet J, Rodríguez P, Hussein M, Sanromán B, Herrero J, Gil R. Elastofibroma of the thoracic wall. Interact Cardiovasc Thorac Surg. 2008;7(4):626–628. https://doi.org/10.1510/icvts.2007.174722.Nagamine N, Nohara Y, Ito E. Elastofibroma in Okinawa. A clinicopathologic study of 170 cases. Cancer. 1982;50(9):1794–1805. https://doi.org/10.1002/1097-0142(19821101)50:9<1794::aid-cncr2820500925>3.0.co;2-l.Nagamine N, Nohara Y, Ito E. Elastofibroma in Okinawa. A clinicopathologic study of 170 cases. Cancer. 1982;50(9):1794–1805. https://doi.org/10.1002/1097-0142(19821101)50:9<1794::aid-cncr2820500925>3.0.co;2-l.Brandser EA, Goree JC, El-Khoury GY. Elastofibroma dorsi: prevalence in an elderly patient population as revealed by CT. AJR Am J Roentgenol. 1998;171(4):977–980. https://doi.org/10.2214/ajr.171.4.9762978.Brandser EA, Goree JC, El-Khoury GY. Elastofibroma dorsi: prevalence in an elderly patient population as revealed by CT. AJR Am J Roentgenol. 1998;171(4):977–980. https://doi.org/10.2214/ajr.171.4.9762978.Järvi OH, Länsimies PH. Subclinical elastofibromas in the scapular region in an autopsy series. Acta Pathol Microbiol Scand A. 1975;83(1):87–108. https://doi.org/10.1111/j.1699-0463.1975.tb01361.x.Järvi OH, Länsimies PH. Subclinical elastofibromas in the scapular region in an autopsy series. Acta Pathol Microbiol Scand A. 1975;83(1):87–108. https://doi.org/10.1111/j.1699-0463.1975.tb01361.x.Naylor MF, Nascimento AG, Sherrick AD, McLeod RA. Elastofibroma dorsi: radiologic findings in 12 patients. AJR Am J Roentgenol. 1996;167(3):683–687. https://doi.org/10.2214/ajr.167.3.8751681.Naylor MF, Nascimento AG, Sherrick AD, McLeod RA. Elastofibroma dorsi: radiologic findings in 12 patients. AJR Am J Roentgenol. 1996;167(3):683–687. https://doi.org/10.2214/ajr.167.3.8751681.Blumenkrantz Y, Bruno GL, González CJ, Namías M, Osorio AR, Parma P. Characterization of Elastofibroma Dorsi with (18) FDG PET/CT: a retrospective study. Rev Esp Med Nucl. 2011;30(6):342–345. https://doi.org/10.1016/j.remn.2011.01.006.Blumenkrantz Y, Bruno GL, González CJ, Namías M, Osorio AR, Parma P. Characterization of Elastofibroma Dorsi with (18) FDG PET/CT: a retrospective study. Rev Esp Med Nucl. 2011;30(6):342–345. https://doi.org/10.1016/j.remn.2011.01.006.Tamimi Mariño I, Sesma Solis P, Pérez Lara A, Martinez Malo J, Vazquez ML, Tamimi F. Sensitivity and positive predictive value of magnetic resonance imaging in the diagnosis of elastofibroma dorsi: review of fourteen cases. J Shoulder Elbow Surg. 2013;22(1):57–63. https://doi.org/10.1016/j.jse.2012.02.005.Tamimi Mariño I, Sesma Solis P, Pérez Lara A, Martinez Malo J, Vazquez ML, Tamimi F. Sensitivity and positive predictive value of magnetic resonance imaging in the diagnosis of elastofibroma dorsi: review of fourteen cases. J Shoulder Elbow Surg. 2013;22(1):57–63. https://doi.org/10.1016/j.jse.2012.02.005.Braham E, Hergli I, Boudaya MS, Ismail O, Ayadi-Kaddour A, Kilani T, El Mezni F. Elastofibroma of scapula: a case report and literature review. Ann Transl Med. 2013;1(3):31. https://doi.org/10.3978/j.issn.2305-5839.2013.05.01.Braham E, Hergli I, Boudaya MS, Ismail O, Ayadi-Kaddour A, Kilani T, El Mezni F. Elastofibroma of scapula: a case report and literature review. Ann Transl Med. 2013;1(3):31. https://doi.org/10.3978/j.issn.2305-5839.2013.05.01.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;5:15. https://doi.org/10.1186/1477-7819-5-15.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;5:15. https://doi.org/10.1186/1477-7819-5-15.Pierce JC 3rd, Henderson R. Hypermetabolism of elastofibroma dorsi on PET-CT. AJR Am J Roentgenol. 2004;183(1):35–37. https://doi.org/10.2214/ajr.183.1.1830035.Pierce JC 3rd, Henderson R. Hypermetabolism of elastofibroma dorsi on PET-CT. AJR Am J Roentgenol. 2004;183(1):35–37. https://doi.org/10.2214/ajr.183.1.1830035.Kapff PD, Hocken DB, Simpson RH. Elastofibroma of the hand. J Bone Joint Surg Br. 1987;69(3):468–469. https://doi.org/10.1302/0301-620X.69B3.3584204.Kapff PD, Hocken DB, Simpson RH. Elastofibroma of the hand. J Bone Joint Surg Br. 1987;69(3):468–469. https://doi.org/10.1302/0301-620X.69B3.3584204.Kastner M, Salai M, Fichman S, Heller S, Dudkiewicz I. Elastofibroma at the scapular region. Isr Med Assoc J. 2009;11(3):170–172. Available at: https://www.ima.org.il/FilesUploadPublic/IMAJ/0/41/20585.pdf.Kastner M, Salai M, Fichman S, Heller S, Dudkiewicz I. Elastofibroma at the scapular region. Isr Med Assoc J. 2009;11(3):170–172. Available at: https://www.ima.org.il/FilesUploadPublic/IMAJ/0/41/20585.pdf.Parratt MT, Donaldson JR, Flanagan AM, Saifuddin A, Pollock RC, Skinner JA et al. Elastofibroma dorsi: management, outcome and review of the literature. J Bone Joint Surg Br. 2010;92(2):262–266. https://doi.org/10.1302/0301-620X.92B2.22927.Parratt MT, Donaldson JR, Flanagan AM, Saifuddin A, Pollock RC, Skinner JA et al. Elastofibroma dorsi: management, outcome and review of the literature. J Bone Joint Surg Br. 2010;92(2):262–266. https://doi.org/10.1302/0301-620X.92B2.22927.Fibla J, Molins L, Marco V, Pérez J, Vidal G. Bilateral elastofibroma dorsi. Joint Bone Spine. 2007;74(2):194–196. https://doi.org/10.1016/j.jbspin.2006.02.017.Fibla J, Molins L, Marco V, Pérez J, Vidal G. Bilateral elastofibroma dorsi. Joint Bone Spine. 2007;74(2):194–196. https://doi.org/10.1016/j.jbspin.2006.02.017.Mortman KD, Hochheiser GM, Giblin EM, Manon-Matos Y, Frankel KM. Elastofibroma dorsi: clinicopathologic review of 6 cases. Ann Thorac Surg. 2007;83(5):1894–1897. https://doi.org/10.1016/j.athoracsur.2006.11.050.Mortman KD, Hochheiser GM, Giblin EM, Manon-Matos Y, Frankel KM. Elastofibroma dorsi: clinicopathologic review of 6 cases. Ann Thorac Surg. 2007;83(5):1894–1897. https://doi.org/10.1016/j.athoracsur.2006.11.050.Hisaoka M, Hashimoto H. Elastofibroma: clonal fibrous proliferation with predominant CD34-positive cells. Virchows Arch. 2006;448(2):195–199. https://doi.org/10.1007/s00428-005-0053-9.Hisaoka M, Hashimoto H. Elastofibroma: clonal fibrous proliferation with predominant CD34-positive cells. Virchows Arch. 2006;448(2):195–199. https://doi.org/10.1007/s00428-005-0053-9.Oueslati S, Douira-Khomsi W, Bouaziz MC, Zaouia K. Elastofibroma dorsi: A report on 6 cases. Acta Orthop Belg. 2006;72(2):237–342. Available at: https://pubmed.ncbi.nlm.nih.gov/16768275/.Oueslati S, Douira-Khomsi W, Bouaziz MC, Zaouia K. Elastofibroma dorsi: A report on 6 cases. Acta Orthop Belg. 2006;72(2):237–342. Available at: https://pubmed.ncbi.nlm.nih.gov/16768275/.El Hammoumi M, Qtaibi A, Arsalane A, El Oueriachi F, Kabiri el H. Elastofibroma dorsi: clinicopathological analysis of 76 cases. Korean J Thorac Cardiovasc Surg. 2014;47(2):111–116. https://doi.org/10.5090/kjtcs.2014.47.2.111.El Hammoumi M, Qtaibi A, Arsalane A, El Oueriachi F, Kabiri el H. Elastofibroma dorsi: clinicopathological analysis of 76 cases. Korean J Thorac Cardiovasc Surg. 2014;47(2):111–116. https://doi.org/10.5090/kjtcs.2014.47.2.111.Cavallasca JA, Sohn DI, Borgia AR, Maliandi Mdel R, Musuruana JL. Elastofibroma dorsi: review of 4 cases. Reumatol Clin. 2012;8(6):358–360. https://doi.org/10.1016/j.reuma.2011.12.011.Cavallasca JA, Sohn DI, Borgia AR, Maliandi Mdel R, Musuruana JL. Elastofibroma dorsi: review of 4 cases. Reumatol Clin. 2012;8(6):358–360. https://doi.org/10.1016/j.reuma.2011.12.011.Ochsner JE, Sewall SA, Brooks GN, Agni R. Best cases from the AFIP: Elastofibroma dorsi. Radiographics. 2006;26(6):1873–1876. https://doi.org/10.1148/rg.266055184.Ochsner JE, Sewall SA, Brooks GN, Agni R. Best cases from the AFIP: Elastofibroma dorsi. Radiographics. 2006;26(6):1873–1876. https://doi.org/10.1148/rg.266055184.Falidas E, Arvanitis D, Anyfantakis G, Pazidis A, Koukouli Z, Miltiadou D, Koronaiou A. Painful elastofibroma dorsi: a report of a case and a brief review of the literature. Case Rep Orthop. 2013:794247. https://doi.org/10.1155/2013/794247.Falidas E, Arvanitis D, Anyfantakis G, Pazidis A, Koukouli Z, Miltiadou D, Koronaiou A. Painful elastofibroma dorsi: a report of a case and a brief review of the literature. Case Rep Orthop. 2013:794247. https://doi.org/10.1155/2013/794247.Kourda J, Ayadi-Kaddour A, Merai S, Hantous S, Miled KB, Mezni FE. Bilateral elastofibroma dorsi. A case report and review of the literature. Orthop Traumatol Surg Res. 2009;95(5):383–387. https://doi.org/10.1016/j.otsr.2009.05.002.Kourda J, Ayadi-Kaddour A, Merai S, Hantous S, Miled KB, Mezni FE. Bilateral elastofibroma dorsi. A case report and review of the literature. Orthop Traumatol Surg Res. 2009;95(5):383–387. https://doi.org/10.1016/j.otsr.2009.05.002.Hocar O, Buffard V, Ortonne N, Bagot M. Élastofibrome dorsal bilatéral. Ann Dermatol Venereol. 2012;139(1):41–45. https://doi.org/10.1016/j.annder.2011.10.395.Hocar O, Buffard V, Ortonne N, Bagot M. Élastofibrome dorsal bilatéral. Ann Dermatol Venereol. 2012;139(1):41–45. https://doi.org/10.1016/j.annder.2011.10.395.Oliva MS, Smimmo A, Vitiello R, Meschini C, Muratori F, Maccauro G, Ziranu A. Elastofibroma dorsi: What’s new? Orthop Rev (Pavia). 2020;12(Suppl. 1):8708. https://doi.org/10.4081/or.2020.8708.Oliva MS, Smimmo A, Vitiello R, Meschini C, Muratori F, Maccauro G, Ziranu A. Elastofibroma dorsi: What’s new? Orthop Rev (Pavia). 2020;12(Suppl. 1):8708. https://doi.org/10.4081/or.2020.8708.Madri JA, Dise CA, LiVolsi VA, Merino MJ, Bibro MC. Elastofibroma dorsi: an immunochemical study of collagen content. Hum Pathol. 1981;12(2):186–190. https://doi.org/10.1016/s0046-8177(81)80107-4.Madri JA, Dise CA, LiVolsi VA, Merino MJ, Bibro MC. Elastofibroma dorsi: an immunochemical study of collagen content. Hum Pathol. 1981;12(2):186–190. https://doi.org/10.1016/s0046-8177(81)80107-4.Giebel GD, Bierhoff E, Vogel J. Elastofibroma and pre-elastofibroma – a biopsy and autopsy study. Eur J Surg Oncol. 1996;22(1):93–96. https://doi.org/10.1016/s0748-7983(96)91781-3.Giebel GD, Bierhoff E, Vogel J. Elastofibroma and pre-elastofibroma – a biopsy and autopsy study. Eur J Surg Oncol. 1996;22(1):93–96. https://doi.org/10.1016/s0748-7983(96)91781-3.Давыдов ММ, Мачаладзе ЗО. Саркомы торако-абдоминальной локализации (современная стратегия хирургического лечения). Вестник РОНЦ им. Н.Н. Блохина. 2015;26(1):3–14. Режим доступа: https://www.ronc.ru/upload/iblock/652/652042301a8480e98c75daea7b7b7e0d.pdf.Davydov MM, Machaladze ZO. Sarcomas of thoraco-abdominal localization (modern strategy for surgical treatment). Journal of N.N. Blokhin Russian Cancer Research Center. 2015;26(1):3–14. (In Russ.) Available at: https://www.ronc.ru/upload/iblock/652/652042301a8480e98c75daea7b7b7e0d.pdf.Огнерубов НА, Антипова ТС. Эластофиброма лопатки: случай из практики. Вестник Тамбовского университета. Серия: Естественные и технические науки. 2017;22(6-2):1461–1466. https://doi.org/10.20310/1810-0198-2017-22-6-1461-1466.Ognerubov NA, Antipova TS. Elastofibroma of shield bone: practical example. Tambov University Reports. Series: Natural and Technical Sciences. 2017;22(6-2):1461–1466. (In Russ.) https://doi.org/10.20310/1810-0198-2017-22-6-1461-1466.Jena A, Patnayak R, Mutheeswaraiah Y, Chowhan AK, Rukmangadha N, Reddy MK. Hibernoma – an unusual presentation. J Clin Sci Res. 2013;(2):105–107. https://doi.org/10.15380/2277-5706.JCSR.12.074.Jena A, Patnayak R, Mutheeswaraiah Y, Chowhan AK, Rukmangadha N, Reddy MK. Hibernoma – an unusual presentation. J Clin Sci Res. 2013;(2):105–107. https://doi.org/10.15380/2277-5706.JCSR.12.074.Pujani M, Khan S, Jetley S, Raina PK. Intramuscular Hibernoma of the Scapular Region Misdiagnosed on Cytology as a Malignant Lesion: A Report of a Rare Case. Iran J Pathol. 2017;12(4):406–409. https://doi.org/10.30699/ijp.2017.28322.Pujani M, Khan S, Jetley S, Raina PK. Intramuscular Hibernoma of the Scapular Region Misdiagnosed on Cytology as a Malignant Lesion: A Report of a Rare Case. Iran J Pathol. 2017;12(4):406–409. https://doi.org/10.30699/ijp.2017.28322.Pilge H, Hesper T, Holzapfel BM, Prodinger PM, Straub M, Krauspe R. Elastofibroma: clinical results after resection of a rare tumor entity. Orthop Rev (Pavia). 2014;6(2):5329. https://doi.org/10.4081/or.2014.5329.Pilge H, Hesper T, Holzapfel BM, Prodinger PM, Straub M, Krauspe R. Elastofibroma: clinical results after resection of a rare tumor entity. Orthop Rev (Pavia). 2014;6(2):5329. https://doi.org/10.4081/or.2014.5329.Винокуров АС, Юдин АЛ, Учеваткин АА, Юматова ЕА. Лучевая диагностика эластофибромы. Медицинская визуализация. 2016;(3):136–141. Режим доступа: https://medvis.vidar.ru/jour/article/view/290.Vinokurov AS, Yudin AL, Uchevatkin AA, Yumatova EA. Radiologic Diagnosis of Elastofibroma Dorsi. Medical Visualization. 2016;(3):136–141. (In Russ.) Available at: https://medvis.vidar.ru/jour/article/view/290.Briccoli A, Casadei R, Di Renzo M, Favale L, Bacchini P, Bertoni F. Elastofibroma dorsi. Surg Today. 2000;30(2):147–152. https://doi.org/10.1007/PL00010063.Iliass M, Ouhamou Y, Gridda M, El Absi M. Dorsal Elastofibroma: About Two Cases. SAS J Surg. 2023;9(1):37–39. https://doi.org/10.36347/sasjs.2023.v09i01.009.Schafmayer C, Kahlke V, Leuschner I, Pai M, Tepel J. Elastofibroma dorsi as differential diagnosis in tumors of the thoracic wall. Ann Thorac Surg. 2006;82(4):1501–1504. https://doi.org/10.1016/j.athoracsur.2005.10.049.Briccoli A, Casadei R, Di Renzo M, Favale L, Bacchini P, Bertoni F. Elastofibroma dorsi. Surg Today. 2000;30(2):147–152. https://doi.org/10.1007/PL00010063.Nishio J, Nakayama S, Nabeshima K, Yamamoto T. Current Update on the Diagnosis, Management and Pathogenesis of Elastofibroma Dorsi. Anticancer Res. 2021;41(5):2211–2215. https://doi.org/10.21873/anticanres.14997.Schafmayer C, Kahlke V, Leuschner I, Pai M, Tepel J. Elastofibroma dorsi as differential diagnosis in tumors of the thoracic wall. Ann Thorac Surg. 2006;82(4):1501–1504. https://doi.org/10.1016/j.athoracsur.2005.10.049.Sahin M, Gul VO. Is it necessary to always resect elastofibroma dorsi? ANZ J Surg. 2021;91(3):304–309. https://doi.org/10.1111/ans.16449.Nishio J, Nakayama S, Nabeshima K, Yamamoto T. Current Update on the Diagnosis, Management and Pathogenesis of Elastofibroma Dorsi. Anticancer Res. 2021;41(5):2211–2215. https://doi.org/10.21873/anticanres.14997.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. Mol Clin Oncol. 2014;2(3):421–424. https://doi.org/10.3892/mco.2014.257.Sahin M, Gul VO. Is it necessary to always resect elastofibroma dorsi? ANZ J Surg. 2021;91(3):304–309. https://doi.org/10.1111/ans.16449.Bartocci M, Dell, Atti C, Meacci E, Congedo MT, Magarelli N, Bonomo L, Leone A. Clinical features, imaging findings, treatment aspects of elastofibroma dorsi and long-term outcomes after surgical resection. Eur Rev Med Pharmacol Sci. 2017;21(9):2061–2068. Available at: https://www.europeanreview.org/article/12681.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. Mol Clin Oncol. 2014;2(3):421–424. https://doi.org/10.3892/mco.2014.257.Prete PE, Henbest M, Michalski JP, Porter RW. Intraspinal elastofibroma. A case report. Spine (Phila Pa 1976). 1983;8(7):800–802. https://doi.org/10.1097/00007632-198310000-00019.Bartocci M, Dell, Atti C, Meacci E, Congedo MT, Magarelli N, Bonomo L, Leone A. Clinical features, imaging findings, treatment aspects of elastofibroma dorsi and long-term outcomes after surgical resection. Eur Rev Med Pharmacol Sci. 2017;21(9):2061–2068. Available at: https://www.europeanreview.org/article/12681.Deutsch GP. Elastofibroma dorsalis treated by radiotherapy. Br J Radiol. 1974;47(561):621–623. https://doi.org/10.1259/0007-1285-47-561-621.Prete PE, Henbest M, Michalski JP, Porter RW. Intraspinal elastofibroma. A case report. Spine (Phila Pa 1976). 1983;8(7):800–802. https://doi.org/10.1097/00007632-198310000-00019.Karakurt O, Kaplan T, Gunal N, Gulbahar G, Kocer B, Han S et al. Elastofibroma dorsi management and outcomes: review of 16 cases. Interact Cardiovasc Thorac Surg. 2014;18(2):197–201. https://doi.org/10.1093/icvts/ivt442.Deutsch GP. Elastofibroma dorsalis treated by radiotherapy. Br J Radiol. 1974;47(561):621–623. https://doi.org/10.1259/0007-1285-47-561-621.Karakurt O, Kaplan T, Gunal N, Gulbahar G, Kocer B, Han S et al. Elastofibroma dorsi management and outcomes: review of 16 cases. Interact Cardiovasc Thorac Surg. 2014;18(2):197–201. https://doi.org/10.1093/icvts/ivt442.Karakurt O, Kaplan T, Gunal N, Gulbahar G, Kocer B, Han S et al. Elastofibroma dorsi management and outcomes: review of 16 cases. Interact Cardiovasc Thorac Surg. 2014;18(2):197–201. https://doi.org/10.1093/icvts/ivt442.

The authors declare that there are no conflicts of interest present.