The diagnostic cytomorphologic findings in a case of elastofibroma dor
si are described in this report. The correct diagnosis was initially o
verlooked on fine-needle aspiration, and was subsequently made by open
biopsy. Review of the FNA material, however, demonstrated scanty but
diagnostic material Cytologic examination revealed a mixture of fibrob
lasts adipose tissue, and swollen lightly staining cyanophilic elastic
fibers in a background of collagenous matrix. Cross sections of the e
lastic fibers had the typical serrated and globular appearance. These
fibers stained positive with elastin stains. The cytomorphology of ela
stofibroma dorsi with diagnostic pitfalls and differential diagnostic
dilemmas are discussed in this article. (C) 1994 Wiley-Liss, inc.