Nora’s disease: a series of six cases

Nora’s disease: a series of six cases

Objectives. Nora’s disease is a mesenchymal bone tumor with controversial diagnosis and treatment due to the benign but locally aggressive course and high recurrence rates. Methods. A retrospective analysis was made of patients diagnosed with Nora’s Disease at Ankara University Orthopedics and Traumatology Clinic. The evaluation was made of the age of the patient, gender, symptoms, lesion location, trauma history, treatment choice and recurrence rates during follow-up. Results. Excision was applied to 6 patients diagnosed with Nora’s disease, and in 1 patient an additional autograft and internal fixation were required. Recurrence was observed in 3 patients, 2 of whom underwent revision surgery and one who did not as there no patient complaints. Conclusions. Nora’s disease is problematic for orthopedic surgeons as there are difficulties in diagnosis, there is no absolute treatment algorithm, recurrence potential is high, and there are limited additional treatment choices. Therefore, treatment and follow-up at clinical center’s dealing with orthopedic tumor surgery can be considered appropriate.

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  • Nora FE, Dahlin DC, Beabout JW. Bizarre parosteal osteochondromatous proliferations of the hands and feet. Am J Surg Pathol. 1983 Apr;7(3):245-50.
  • Torreggiani WC, Munk PL, Al-Ismail K, O'Connell JX, Nicolaou S, Lee MJ, et al. MR imaging features of bizarre parosteal osteochondromatous proliferation of bone (Nora's lesion). Eur J Radiol. 2001 Dec;40(3):224-31.
  • Dhondt E, Oudenhoven L, Khan S, Kroon HM, Hogendoorn PC, Nieborg A, et al. Nora's lesion, a distinct radiological entity? Skeletal Radiol. 2006 Jul;35(7):497-502.
  • Rybak LD, Abramovici L, Kenan S, Posner MA, Bonar F, Steiner GC. Cortico-medullary continuity in bizarre parosteal osteochondromatous proliferation mimicking osteochondroma on imaging. Skeletal Radiol. 2007 Sep;36(9):829-34.
  • Orui H, Ishikawa A, Tsuchiya T, Ogino T. Magnetic resonance imaging characteristics of bizarre parosteal osteochondromatous proliferation of the hand: a case report. J Hand Surg. 2002 Nov;27(6):1104-8.
  • Boudová L, Michal M. Atypical decubital fibroplasia associated with bizarre parosteal osteochondromatous proliferation (Nora's reaction). Pathol Res Pract. 1999;195(2):99-103; discussion 104.
  • Makoto E, Tadashi H, Takashi T. Bizarre parosteal osteochondromatous proliferation with a t(1;17) translocation. Virchows Arch. 2005 Jul;447(1):99-102.
  • Lindeque BG, Simson IW, Fourie PA. Bizarre parosteal osteochondromatous proliferation of a phalanx. Arch Orthop Trauma Surg. 1990;110(1):58-60.
  • Abramovici L, Steiner GC. Bizarre parosteal osteochondromatous proliferation (Nora's lesion): a retrospective study of 12 cases, 2 arising in long bones. Hum Pathol. 2002 Dec;33(12):1205-10.
  • Horiguchi H, Sakane M, Matsui M, Wadano Y. Bizarre parosteal osteochondromatous proliferation (Nora’s lesion) of the foot. Pathol Int. 2001 Oct;51(10):816-23.
  • Bandiera S, Bacchini P, Bertoni F. Bizarre parosteal osteochondromatous proliferation of bone. Skeletal Radiol. 1998 Mar;27(3):154-6.
  • Moretti B, Di Giovanni A, Martino F, Moretti L, Patella S, Patella V. Nora's lesion. Clinical and therapeutic considerations. Chir Organi Mov. 2008 May;92(1):45-9.
  • Gruber G, Giessauf C, Leithner A, Zacherl M, Clar H, Bodo K, et al. Bizarre parosteal osteochondromatous proliferation (Nora lesion): a report of 3 cases and a review of the literature. Can J Surg. 2008 Dec;51(6):486-9.
  • Berber O, Dawson-Bowling S, Jalgaonkar A, Miles J, Pollock RC, Skinner JA, et al. Bizarre parosteal osteochondromatous proliferation of bone: clinical management of a series of 22 cases. J Bone Joint Surg Br. 2011 Aug;93(8):1118-21.
  • Joseph J, Ritchie D, MacDuff E, Mahendra A. Bizarre parosteal osteochondromatous proliferation: a locally aggressive benign tumor. Clin Orthop Relat Res. 2011 Jul;469(7):2019-27.
  • Meneses MF, Unni KK, Swee RG. Bizarre parosteal osteochondromatous proliferation of bone (Nora's lesion). Am J Surg Pathol. 1993 Jul;17(7):691-7.
The European Research Journal-Cover
  • ISSN: 2149-3189
  • Yayın Aralığı: Yılda 6 Sayı
  • Başlangıç: 2015
  • Yayıncı: Prusa Medikal Yayıncılık Limited Şirketi
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