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A 55 year old male had pathological fracture neck of femur with a pulsatile mass in the right thigh. He had cough with pleural effusion and earlier had an episode of Hematuria. Most likely cause is:

1. Prostatic cancer
2. Bladder cancer
3. Clear cell carcinoma
4. Femoral Artery Aneurysm.


Ans 3 Clear cell carcinoma

Clear cell cancer is the most common type of renal cancer. It is highly vascular and permeates through blood stream to lungs and long bones. Secondaries can be Pulsatile. This is an Advanced Renal Cell cancer.