PCO-Spontaneous-pathological-diaphyseal-fracture-Q1

How would you manage this condition?
Closed fixation with femoral nail and anatomopathological analysis on reaming products.
Open fixation with removal of the tumor according to the pre-operation imaging, anatomopathological analysis of the resection piece and direct reconstruction with bone graft and plate osteosynthesis
Trans-femoral amputation
Paliative treatment with chemotherapy only
Radiological biopsy, oncologic treatment and later removal and reconstructive tumoral surgery.
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