Elastofibroma is an actual reactive process that presents itself as a tumor. It is fibrous in nature and almost exclusively affects the soft tissues around the scapula. It has been suggested that elastofibromas fevelop as a response to repeated trauma. One-third of patients have a family history of this diagnosis. Elastofibromas grow very slowly and usually present in individuals over the age of 55 years. It is almost always located between the lower scapula and the chest wall. In 90% of cases, the lesion presents itself unilaterally (involves only one side of the body); however, in as many as 10% of cases, it may occur bilaterally. This lesion generally lies deep to the rhomboid muscles and attaches itself to the ribs. It is usually painless, and the patient presents with a lump or mass. Elastofibromas are cured by simple excision or removal of the lesion, and they rarely recur.