Skip to main content
Log in

Elastofibroma

A correlated light and electron microscopic study

  • Published:
Virchows Archiv A Aims and scope Submit manuscript

Summary

Four cases of elastofibroma located in the subscapular region of 3 men aged 66, 74, and 83 years, and a woman 70 years old are reported. A correlated light and electron microscopic study including ultrastructural examination of Verhoeff's iron-hematoxylin (VIH)-stained sections was performed. Light microscopically, the elastofibromas were characterized by connective tissue built up by collagen fibers and sclerotic masses mingled with numerous fibers and globules of elastin material. In one micron thick Epon sections these elastin fibers often revealed a central axis surrounded by a mantle composed of periodic segments giving them a necklace-like appearance. The ultrastructural findings of these elastin structures, stained with VIH, and the appearance of the stroma cells and their relation to the elastin indicate that elastofibroma is a non-neoplastic reactive lesion in which elastin material is synthesized by the stromal cells and predominantly laid down around preexisting elastic fibers.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Akhtar M, Miller RM (1977) Ultrastructure of elastofibroma. Cancer 40:728–735

    Google Scholar 

  • Albert EN (1972) Developing elastic tissue. Am J Pathol 69:89–101

    Google Scholar 

  • Albert EN (1973) A combined fluorescent and electron microscopic stain for elastic tissue. Histochem J 5:157–167

    Google Scholar 

  • Albert EN, Fleischer E (1970) A new electron-dense stain for elastic tissue. J Histochem Cytochem 18:697–708

    Google Scholar 

  • Albert EN, Pease DC (1968) An electron microcopic study of uterine arteries during pregnancy. Am J Anat 123:165–172

    Google Scholar 

  • Banfield WG, Lee CK (1968) Elastofibroma — an electron microscopic study. J Natl Cancer Inst 40:1067–1077

    Google Scholar 

  • Barr JR (1966) Elastofibroma. Am J Clin Pathol 45:679–683

    Google Scholar 

  • Bhawan J (1981) The myofibroblast. Am J Dermatopathol 3:73–78

    Google Scholar 

  • Brissie RM, Spicer SS, Thompson NT (1975) The variable fine structure of elastin visualized with Verhoeff's iron hematoxylin. Anat Rec 181:83–94

    Google Scholar 

  • Ghadially FN (1980) Diagnostic electron microscopy of tumours. Butterworths, London, pp 29–31

    Google Scholar 

  • Greenlee TK, Ross R, Hartman JL (1966) The fine structure of elastic fibers. J Cell Biol 30:59–71

    Google Scholar 

  • Haust MD, More RH (1967) Electron microscopy of connective tissue and elastogenesis. In: Wagner BM, Smith D (eds) The connective tissue. Williams and Wilkins Co. Baltimore, pp 352–376

    Google Scholar 

  • Järvi OH, Länsimies PH (1975) Subclinical elastofibromas in the scapular region in an autopsy series. Acta Pathol Microbiol Scand (Sect A) 83:87–108

    Google Scholar 

  • Järvi OH, Saxén AE, Hopsu-Havu VK, Wartiovaara JJ, Vaissalo VT (1969) Elastofibroma — a degenerative pseudotumor. Cancer 23:42–63

    Google Scholar 

  • Kadar A, Gardner DL, Bush V (1971) The relation between the fine structure of smooth-muscle cells and elastogenesis in the chick-embryo aorta. J Pathol 104:253–261

    Google Scholar 

  • Paule WJ (1963) Electron microscopy of the newborn rat aorta. J Ultrastruct Res 8:219–235

    Google Scholar 

  • Pease DC, Molinari S (1960) Electron microscopy of muscular arteries; pial vessels of the cat and monkey. J Ultrastruct Res 3:447–468

    Google Scholar 

  • Pease DC, Paule WJ (1960) Electron microscopy of elastic arteries; the thoracic aorta of the rat. J Ultrastruct Res 3:469–483

    Google Scholar 

  • Ramos CV, Gillespie W, Narconis RJ (1978) Elastofibroma — a pseudotumor of myofibroblasts. Arch Pathol Lab Med 102:538–540

    Google Scholar 

  • Seemayer TA, Lagacé R, Schürch W, Thelmo WL (1980) The myofibroblast: biologic, pathologic, and theoretical considerations. Pathol Annu 1:443–470

    Google Scholar 

  • Spicer SS, Brissie RM, Thompson NT (1975) Variability of dermal elastin visualized ultrastructurally with iron hematoxylin. Am J Pathol 79:481–498

    Google Scholar 

  • Stemmerman GN, Stout AP (1962) Elastofibroma dorsi. Am J Clin Pathol 37:499–506

    Google Scholar 

  • Tighe JR, Clark AE, Turvey DJ (1968) Elastofibroma dorsi. J Clin Pathol 21:463–469

    Google Scholar 

  • Waisman J, Carnes WH (1967) Cardiovascular studies on copper deficient swine; the fine structure of the defective elastic membranes. Am J Pathol 51:117–135

    Google Scholar 

  • Waisman J, Smith DW (1968) Fine structure of an elastofibroma. Cancer 22:671–677

    Google Scholar 

  • Winkelmann RK, Sams Jr WM (1969) Elastofibroma — report of a case with special histochemical and electron microscopic studies. Cancer 23:406–415

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kindblom, LG., Spicer, S.S. Elastofibroma. Virchows Arch. A Path. Anat. and Histol. 396, 127–140 (1982). https://doi.org/10.1007/BF00431236

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00431236

Key words

Navigation