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Elastofibroma dorsi is a benign tumor that can be clinically misidentified as a malignant neoplasm. Due to its low incidence, few studies to date have focused on determining a standardized surgical approach. We report the case of a female patient with a histopathological diagnosis of elastofibroma dorsi who was managed with surgical excisional biopsy and closed suction drain placement. Postoperative follow-up was conducted over two months to monitor her clinical evolution. The clinical approach implemented at our institution is discussed in comparison with current scientific literature, with the purpose of encouraging further research and awareness of this pathology.