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A 49-year-old male who presented with a pathologic fracture through an extensive lytic lesion in the pertrochanteric and subtrochanteric region (A). Staging and workup found this to be an isolated renal cell carcinoma metastases. Preoperative angio-embolization was undertaken (B), and the metastatic deposit was treated with en-bloc resection and reconstruction with proximal femoral replacement (C).
