“…Controversy remains concerning appropriate treatment of osseous metastatic renal cell carcinoma (Table III). Some studies have shown wide resection to be a positive prognostic indicator of improved survival 7; however, several others were unable to confirm these data 20, 5, 13. Some studies have demonstrated intralesional procedures have a high failure rate (5–40%) resulting in the need for further surgical interventions compared with patients undergoing wide resection 5, 21, 7, 22, 12, 23.…”