[Expert consensus on surgical management of pelvic metastatic tumors (2026 edition)].

The pelvis is one of the common sites of metastatic tumors. Due to the wide variety of primary tumor origins and differences in tumor malignancy and the degree of bone destruction, clinical decision-making for pelvic metastatic tumors is complex, and there is a lack of unified diagnostic and treatment guidelines both domestically and internationally. To standardize the surgical treatment of pelvic metastatic tumors in China, the Bone Tumor Group of the Orthopedics Branch of the Chinese Medical Association and the Professional Committee on Bone Tumors and Bone Metastasis of the China Anti-Cancer Association organized renowned bone tumor experts in China to develop this consensus based on existing evidence and clinical experience, using a modified Delphi method. This consensus provides recommendations on core clinical issues, including preoperative evaluation, surgical approaches, postoperative rehabilitation, and perioperative management, aiming to offer practical guidance for clinical practitioners and ultimately improve patient outcomes.