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Elastofibroma

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Elastofibroma usually involves the subscapular region in elderly individuals. There is often a history of hard manual labor. The image shows an admixture of collagen bundles and elastic fibers in a loose myxoid matrix. The elastic fiber bundles have serrated, flower-like or cylindrical shape with beaded appearance. With elastic stains (Verhoeff), the fibers show a dense core and a serrated, moth-eaten margin.

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