Figure 1.

An 80-year-old male presented with ongoing right hip pain and lesion in the peritrochanteric region that was thought to be metastatic disease (A,B). A workup for an unknown primary lesion was negative. The patient underwent intramedullary nail fixation for impending pathologic fracture (C). The pathologic findings from intraoperative reamings were consistant with a diagnosis of chondrosarcoma (H&E, ×200). (D). Given the patients age and health status along with the morbidity of a curative procedure, the decision was made to pursue palliative care.