X-Ray features of leukemia in a 2 year old child is/are
A. Osteolytic lesions in flat bonesB. Subperiosteal erosions
C. Osteoporosis
D. Thick line just below growth plate
E. Metaphyseal infarcts
The Answer is. (B) Subperiosteal erosions ; (C)
Osteoporosis (D) Thick line just below growth plate
• Characteristicaly, there
are zones of rarefaction with delicate subperiosteal
new-bone formation in the metaphyseal
regions of femur, humerus or spine or pelvis.
* X-ray reveals sub
periosteal and subepithelial reabsorption of bones and presence of dark-bands
above the metaphysis called growth arrest lines.
• Osteolytic lesions is seen in half of the cases and
is commonest in shafts of long bones.
• Other X-ray features of ALL :
— Metaphyseal cortical erosion
---- Periosteal reactions.
— Altered medullary trabeculation, sub-epiphyseal bone
resorption.
