What is Elastofibroma Dorsi (back callus)? It happens mostly in women!

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Calluses on the fingers and feet as a result of physical hard work and insufficient care can also be seen on the back! Known as Elastofibroma Dorsi in the medical world, this disease, which we call back calluses among the people, is generally more common in women. Thoracic Surgery Specialist Assoc. Dr. Özkan Demirhan shared important information about his treatment and symptoms. Here are all the details about the formation of calluses on the back, on appleelma.com!

Calluses, which we are used to seeing standing up, can also occur on the back. The clicking sound that occurs with the back callus arm movement, which threatens mostly women, shows itself as the scapula rising and swelling around it, weakness in the arm, arm and back pain.

Elastofibroma Dorsi, which is a rare disease with the medical name of back callus, is mostly seen in women. This tumor, which is mostly benign, can negatively affect daily life. Experts, on the other hand, emphasize that it should be surgically removed after diagnosis. What you need to know about the subject

Explaining the causes of back calluses, Demirhan said, “Elastofibroma Dorsi is a rare benign and slow growing chest wall tumor. It is a pseudotumor of fibroelastic structure that develops due to mechanical friction and compression between the scapula (scapula) and the chest wall, and is therefore considered reactive rather than tumoral. It usually affects the middle age group. It is more common in women over the age of 40 (female-male ratio 6/1), although it is mostly unilateral (single and double incidence) it is 3/1. Most unilateral lesions are seen on the right side.

It is more common in those who use their shoulders and arms constantly and those who do heavy work.

Mentioning that the movements that force the arm trigger the back calluses, Dr. Demirhan,” It is controversial whether Elastofibroma Dorsi is a true tumor, and it can be said that its etiology is multifactorial. Studies have reported that the incidence may increase with repetitive traumas in those who work with muscle strength. The fact that back calluses are more common around the right scapula in people who use their shoulders and arms constantly or do heavy work supports this view. However, Elastofibroma Dorsi is also observed in people who do not force their arm throughout their life. It can also be seen in different locations other than the scapula. ” he said.

What Are the Symptoms of Back Calluses?

Back calluses start to show symptoms when they are larger than 5 cm. Fifty percent of the cases do not usually show any symptoms. In symptomatic cases, most patients have swelling in the back around the scapula, weakness in the arm, and back shoulder pain. Among the other symptoms, complaints such as clicking sound (clicking) due to the attachment of the scapula to the mass, which occurs with arm movement, joint stiffness, and the scapula being higher than the other side can be counted. Patients presenting with these complaints should be evaluated radiologically, even if there are no abnormal findings on physical examination.

From the simplest to the most complex, Ultrasonography (USG), Computed Tomography (CT) and MRI examination are very useful imaging methods for this pathology. In radiology, it is sometimes defined as a malignant mass-like lesion that cannot be clearly differentiated from the thoracic wall muscles. In fact, the location and clinic of the lesion is typical for Elastofibroma Dorsi, and there is no need for incisional biopsy because typical findings are obtained radiologically. In rare cases, biopsy may be required when imaging is not sufficient for the diagnosis of Elastofibroma Dorsi and it is thought to be an aggressive tumor. However, other tests may not be necessary in the characteristic lesions extending into the deep-seated soft tissue and adipose tissue. CT and MRI may not be sufficient in small cases of Elastofibroma Dorsi. Then gadolinium can be used.

The sensitivity of computed tomography in the diagnosis of Elastofibroma Dorsi is lower than MRI. However, in case of typical localization and bilateral lesion, CT can be helpful in diagnosis. In the presence of MRI findings, the diagnosis of elastofibroma dorsi can be easily considered.

In the presence of atypical findings on MRI, the typical localization of the lesion, its bilateral nature, and the fact that the patient is elderly and female supports the diagnosis of elastofibroma dorsi. The fact that the lesion is bilateral can largely rule out malignant masses that can be considered in the differential diagnosis. Therefore, when the diagnosis of elastofibroma dorsi is clinically suspected, the chest wall should be evaluated bilaterally. Other chest wall tumors should be considered in the differential diagnosis.

What are the Back Callus Treatment Methods?

Treatment can be solved with surgery. Surgery should be treated radically and approached like cancer surgery, and the slightest mass residue should not be left. In unsuccessful surgery, the mass may reappear, and a larger surgery may be required in the second operation. For this reason, the treatment takes place by completely clearing the tumor. If the tumor causes functional insufficiency, compression findings, pain and swelling in the chest wall in the arm and shoulder, and the diameter of the tumor exceeds 5 cm, it should definitely be removed. In smaller lesions that do not cause complaints, the patient can be followed up without surgical treatment. What we call the doubling time of the Elastofibroma Dorsi ” Dubling time There is no evidence that the disease has turned into cancer, since the duration of ” is quite long. Radiotherapy is rarely used in unresectable masses.

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