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: Orthopaedics
Not true about Osteosarcoma 
Select and explain. 
A. Associated with Hyperglycemia, B. Sun burst appearance on x-ray, C. Pulsatile bone tumor, D. Osteitis imperfecta has increased risk of transforming into osteosarcoma
D: Osteitis imperfecta has increased risk of transforming into osteosarcoma
Answer: D: Osteitis imperfecta has increased risk of transforming into osteosarcoma 
Explanation: None