Elastofibroma : Treatment

Comments:
Diagnosis: Elastofibroma is a benign lesion with no malignant potential that is best managed conservatively. Cases with typical clinical presentation can be confidently diagnosed by MRI or CT alone. A core-needle biopsy may be necessary to rule out sarcoma if the lesion is unilateral, large, has a history of rapid growth, or if the imaging findings are atypical.

Treatment: Once the diagnosis is made, a wait-and-see approach for a year or two is reasonable. For symptomatic patients, a limited excision is sufficient and curative. Recurrences are uncommon and there are no reports of malignant transformation.

The image shows abnormal elastic fibers in the form of darker eosinophilic, coarse, rope-like beaded structures as well as flower-like serrated globoid structures against light pink collagenized background.

Image courtesy of: Nejib Ben Yahia, MD, Djerba, Tunisia; used with permission.