A Comprehension between Preoperative Diagnosis of Elastofibroma dorsi with Magnetic Resonance Imaging (MRI) or CT-Scan of Chest with Post Resection Histopathology - Abstract
Background: In this study, we aimed to comparison the results of Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) scan in the diagnosis of Elastofibroma Dorsi (ED) with postoperative histopathology as the gold standard diagnostic tool. Clinical characteristics of ED and radiologic features of MRI and CT scan are also discussed. Materials & Methods: In a retrospective study, we identified all patients with ED who treated in our center between 2000 and 2019. The data including signs, symptoms and imaging’s feature and surgical approaches were reviewed. The results of MRI and CT scan were compared with histopathologic findings. Results: The records of 12 patients who were diagnosed for ED were reviewed. Four of these patients were asymptomatic and were excluded from the study. These patients presented with mass and pain. The mean age of the patients was 64 years. Five of the patients underwent MRI, two patients CT scan and one patient both imaging technique. Core needle biopsy was performed in 3 patients and incisional biopsy was performed in 2 patients. In 3 patients the mass were primarily completely resected without pre or intra operative histopathologic verification. All of the patients underwent wide resection. The postoperative histopathologic results in all of them were compatible with MRI and CT scan findings. Conclusion: As the results of MRI and CT scan are compatible with postoperative histopathologic assessment, these tools are useful for assessments of ED especially in asymptomatic patients that can potentially avoid from unnecessary biopsy and surgery.