Rare Case of Bizarre Parosteal Osteochondromatous Proliferation of Foot

J Orthop Case Rep. 2024 Feb;14(2):88-92. doi: 10.13107/jocr.2024.v14.i02.4228.

Abstract

Introduction: Nora's lesion or bizarre parosteal osteochondromatous proliferation (BPOP) is a rare, benign lesion of small bones of hands and feet in adults. It composed of differing amounts of cartilage, bone, and spindle cells and an unusual form of calcified cartilage so-called "blue bone".

Case report: A 23-year-old male presented with swelling at the lateral side of the fifth toe of his right foot, which was separated from the adjacent toe. Radiographs showed a mass arising from the proximal phalanx of the little toe, with no medullary and cortical continuity. Excisional biopsy of the mass was performed, and a histologic diagnosis of BPOP of bone (Nora's lesion) was made.

Conclusion: This case presented with a cartilaginous cap around tumor which is suggestive for benign nature of this tumor with some histological variation from bizarre variant along with no recurrence which is unlikely seen in BPOP.

Keywords: Nora lesion; foot; tumor.

Publication types

  • Case Reports