This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Unknown
All are true of Hodgkin's lymphoma except- 
Select and explain. 
A. Bimodal age pattern, B. Females less common, C. Contiguous spread, D. Osteolytic metastasis
D: Osteolytic metastasis
Answer: D: Osteolytic metastasis 
Explanation: Osteolytic metastasisMost common sites of primary for bone metastasis.* In Males -Prostate > Lung* In female-Breast > Lung* In children-Neuroblastoma Most common cause of osteolytic metastasis.* In Males-Lung Cancer* In females-Breast Cancero Most common cause of osteoblastic metastasis.o Skeletal sites most frequently involvedSpine > proximal femur > pelvis > ribs > sternum > proximal humerus > skullo Lytic expansile metastasis was seen in Renal Cancer, Thyroid Carcinomaso Osteolytic lesions are associated with hypercalcemia and excretion of hydroxyproline-containing peptides.o Metastasis distal to knee and! the elbow is rare and usually arises from primary tumors of the bronchus, Colon or bladder