Elastofibroma dorsi: a rare benign connective tissue tumor

Elastofibroma dorsi is a rare, benign pseudotumoral lesion of connective tissue that typically arises in the infrascapular region of elderly individuals. Due to its deep location and firm consistency, it may clinically and radiologically mimic malignant soft-tissue tumors, potentially leading to unnecessary biopsies or overtreatment. Characteristic imaging features, particularly on magnetic resonance imaging, usually allow a confident diagnosis. We report a case of right-sided elastofibroma dorsi in a 68-year-old male, describing the clinical presentation, imaging characteristics, surgical management, and histopathological findings. Additionally, a review of previously reported cases is presented, highlighting key learning points and diagnostic challenges.