Nora’s disease: a series of six cases
Abstract
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.
Keywords
References
- 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.
Details
Primary Language
English
Subjects
Health Care Administration
Journal Section
Research Article
Authors
Mahmut Kalem
Department of Orthopedics & Traumatology, Ankara University, Faculty of Medicine, Ankara
Türkiye
Ercan Sahin
This is me
Department of Orthopedics & Traumatology, Bulent Ecevit University, Faculty of Medicine, Zonguldak
Türkiye
Kerem Basarir
This is me
Department of Orthopedics & Traumatology, Ankara University, Faculty of Medicine, Ankara
Türkiye
Huseyin Yildiz
This is me
Department of Orthopedics & Traumatology, Ankara University, Faculty of Medicine, Ankara
Türkiye
Yavuz Saglik
This is me
Department of Orthopedics & Traumatology, Ankara University, Faculty of Medicine, Ankara
Türkiye
Publication Date
November 4, 2015
Submission Date
April 13, 2015
Acceptance Date
July 14, 2015
Published in Issue
Year 2015 Volume: 1 Number: 3