Abstract
The clinical and radiographic aspects of two patients with destructive bone lesions, complicating the course of hairy cell leukemia are presented. The findings are compared with those of 27 previously published cases. The most prominent features of this rare skeletal disorder are osteolysis and widespread or localized demineralisation with predilection for the femoral head and neck. Localized persisting pain is the leading clinical symptom in all cases. Magnetic resonance imaging is helpful in evaluating the extent of bone marrow infiltration and demonstrates focal areas of decreased signal intensity in sites of radiographically detectable bone destruction as well as in bones that appear normal on plain films.
Similar content being viewed by others
References
Arkel YS, Lake-Lewin D, Savopoulos AA, Berman E (1984) Bone lesions in hairy cell leukemia. A case report and response of bone pains to steroids. Cancer 53:2401
Bastien P, Huaux JP, Noel H, Nagant de Deuxchaisnes (1984) Leucémie à tricholeucocytes compliquée de lésions ostéolytiques. Rev Mal Rhum Osteoartic 51:287
Bouroncle BA (1979) Leukemic reticuloendotheliosis. Hairy cell leukemia. Blood 53:413
Braunstein EM (1980) Non-Hodgkin lymphoma of the bone. Radiology 1935:59
Catovsky D, Costello C, Loukopoulos D, Fessas PR, Foxley JM, Traub NE, Mills MJ, O'Brien M (1981) Hairy cell leukemia and myelomatosis: Chance association or clinical manifestations of the same B-cell disease spectrum. Blood 57:758
Dalinka MK (1983) Primary lymphomas of the bone: Radiographic appearance and prognosis. Radiology 147:288
Demanes DJ, Lane N, Beckstead JH (1982) Bone involvement in hairy-cell leukemia. Cancer 49:1697
Golomb HM, Ratain MJ (1987) Recent advances in the treatment of hairy-cell leukemia. N Engl J Med 316:870
Golomb HM, Catovsky D, Golde DW (1978) Hairy cell leukemia. A clinical review based on 71 cases. Ann Intern Med 89:677
Jacobs RH, Everett EV, Golomb HM (1985) Second malignancies in hairy cell leukemia. Cancer 56:1462
Jansen J, Bolhuis RLH, van Nieuwkoop JA, Schuit HRE, Sternfert Kroese WF (1983) Paraproteinaemia plus osteolytic lesions in atypical hairy cell leukaemia. Br J Haematol 54:531
Keidan AJ, Liu Yin JA, Gordon-Smith EC (1984) Uncommon complications of hairy cell leukaemia. Br J Haematol 57:176
Lembersky BC, Ratain MJ, Bennett CL, Golomb HM, Vardiman J (1985) Osseous complications in hairy cell leukemia (ab). Blood 66/suppl 1, 598
Parker BR, Marglin ST, Castellino RA (1980) Skeletal manifestations of leukemia, Hodgkin disease, and non-Hodgkin lymphoma. Semin Roentgenol 15:302
Peer BL (1974) Skeletal manifestations of the lymphomas and leukemias. Semin Roentgenol 9:229
Peterson C, Kaplan PA, Lorenzen KM (1987) Case report 410. Skeletal Radiol 16:82
Quesada JR, Keating MJ, Libshitz HI, Llamas L (1983) Bone involvement in hairy cell leukemia. Am J Med 74:228
Resnick D (1981) Myeloproliferative disorders. In: Resnick D, Niwayama G (eds) Diagnosis of bone and joint disorders. WB Saunders, Philadelphia, p 1992
Rhyner K, Streuli R, Kistler GS (1977) Haarzell-Leukämie (hairy-cell leukemia) mit osteolytischen Knochenveränderungen. Schweiz Med Wochenschr 107:863
Rosenthal RL, Steiner GL, Golub BS (1979) Hairy cell leukemia: Historical aspects and bone involvement. Mt Sinai J Med (NY) 46:237
Schabel St J, Tyminski L, Holland RD, Rittenberg GM (1980) The skeletal manifestations of chronic myelogenous leukemia. Skeletal Radiol 5:145
Sebahoun G, Bouffette P, Flandrin G (1978) Hairy cell leukemia. Leuk Res 2:187–195
Shields AF, Thompson J, Porter BA, Olson DO, Rubin E, Fefer A (1986) Evaluation of marrow involvement in hairy cell leukemia by magnetic resonance imaging (ab). Blood 68, No 5, Suppl 1
Turner A, Kjeldsberg CR (1978) Hairy cell leukemia: Review. Medicine 57:477
Weh HJ, Katz M, Bray B, Rodat O, Degos L, Flandrin G (1979) Lesions osseuses au cours des leucémies à tricholeucocytes. Nouv Presse Med 8:2253
Westbrook CA, Groopman JE, Golde DW (1984) Hairy cell leukemia, disease pattern and prognosis. Cancer 54:500
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Herold, C.J., Wittich, G.R., Schwarzinger, I. et al. Skeletal involvement in hairy cell leukemia. Skeletal Radiol 17, 171–175 (1988). https://doi.org/10.1007/BF00351002
Issue Date:
DOI: https://doi.org/10.1007/BF00351002