Pediatric Bone Metastases

  • Etiology: leukemia, lymphoma, neuroblastoma, Wilms tumor
  • Radiograph: lytic lesions in solid tumors, loss of vertebral body height in leukemia
  • Complications: pathologic fracture
  • Clinical: may be painful

Radiology Cases of Bone Metastases

Radiology Cases of Neuroblastoma Bone Metastases

Radiograph of neuroblastoma bone metastases to the femur
AP radiograph of the femurs shows a mottled appearance to both femurs with multiple lytic lesions noted in the femurs with associated periosteal reaction, more prominent on the left than the right.
Radiograph of bone metastases from neuroblastoma
AP radiographs of the humerus (above) and radius and ulna (below) show lesions involving the proximal humeral diaphysis, entire radial diaphysis and proximal ulna diaphysis all of which are lytic in appearance and having a wide zone of transition and associated faint periosteal reaction.