A, Anteroposterior radiograph of 66-year-old man with metastatic lung cancer in right acetabulum. B, Computed tomography better shows destruction of posterior column and wall. Patient was treated with preoperative embolization to help minimize intraoperative blood loss. C, Intraoperative photograph after curettage of lesion. Two guidewires were placed from the defect to the posterior ilium. Two more guidewires were placed from the anterior iliac crest to the defect. Cannulated screws were placed over guidewires to help support cement mantle. D, Acetabular cage was placed. Tumor defect was filled with bone cement as acetabular cup was cemented into cage. E, Postoperative radiograph.