Elastofibroma dorsidiagnóstico y seguimiento en atención primaria (Pag.-e 101977)

  1. E. García Jarabo 1
  2. D. García Rabanal 2
  3. P. Casas Ramos 3
  4. B. Bravo Jiménez 1
  5. L. Ramos Ramos 1
  6. L.R. Ramos Pascua 1
  1. 1 Hospital Universitario 12 de Octubre, Madrid, España
  2. 2 Centro de Salud La Alamedilla, Salamanca, España
  3. 3 Hospital Universitario de León, León, España
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Journal:
Semergen: revista española de medicina de familia

ISSN: 1138-3593

Year of publication: 2023

Issue: 5

Pages: 5-5

Type: Article

DOI: 10.1016/J.SEMERG.2023.101977 DIALNET GOOGLE SCHOLAR

More publications in: Semergen: revista española de medicina de familia

Abstract

Objective To present a series of patients with elastofibroma dorsi (ED) in order to recall the pathology and justify its diagnostic and therapeutic management in the primary care setting. Materials and methods Retrospective observational and longitudinal study of 12 patients with 18 ED. Epidemiological, clinical and imaging characteristics were analysed. Treatment outcomes were assessed in terms of pain (VAS scale), shoulder function (Constant and Murley scale) and quality of life (EuroQol-5 dimension scale, EQ-5D). The mean follow-up of the cases was 60.5 months (5 years, range 1-161 months). Results Six patients were male and six were female, with a mean age at diagnosis of 59 years. The diagnosis of suspicion in all cases was based in clinical and imaging findings. Only three required surgery. The results of all were satisfactory. Conclusions Both the diagnosis and the indication for treatment of an ED can be made in the primary care setting. In typical cases, which are the majority, the clinical history and an ultrasound study allow a diagnosis of certainty. The indication for conservative or surgical treatment depends on the informed patient. When there are diagnostic doubts or the patient wishes surgical resection of the tumour, the patient should be referred to a hospital specialist.

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