Ea. Brandser et al., ELASTOFIBROMA DORSI - PREVALENCE IN AN ELDERLY PATIENT POPULATION AS REVEALED BY CT, American journal of roentgenology, 171(4), 1998, pp. 977-980
OBJECTIVE. We wanted to determine the prevalence and appearance of ela
stofibroma dorsi in an elderly patient population (n = 258) who underw
ent CT of the chest for reasons other than to evaluate posterolateral
chest wall pain, stiffness, or a mass. CONCLUSION. Five elastofibromas
were detected in four patients; none of these elastofibromas were not
ed at initial examination. Our study suggests that the prevalence of e
lastofibroma dorsi revealed by CT is 2%, which is lower than the 11-24
% found in autopsy series but higher than expected for such a rare tum
or. Elastofibroma dorsi typically has a layered appearance on CT; howe
ver, in our study, homogeneous soft-tissue attenuation was noted. The
diagnosis is often missed prospectively. Familiarity with the location
and imaging appearance of elastofibroma dorsi may enhance detection a
nd characterization of posterolateral chest wall masses in elderly pat
ients.