A 72-year-old 2-pack-per-day smoker presents to your office with increasingly severe right hip pain that is now exacerbated by any weight-bearing. Physical exam is significant an antalgic gait but otherwise a full painless range of motion, good strength, and an absence of neurologic symptoms. A radiograph is shown in Figure A. Metastatic work-up reveals a primary source. The histopathology is shown in Figure B. Which of the following is LEAST associated with the diagnosis?