Skin cancer metastasis to thoracic spine can be treated with palliative chemotherapy, pain relief therapy, nutritional support symptomatic therapy, zoledronic acid bone preservation therapy and radiotherapy. 1. Skin cancer metastasis to thoracic spine can be treated with palliative chemotherapy, and the treatment plan can be chosen according to the condition, such as squamous cell carcinoma metastasis to the bone, which can be treated with docetaxel and cisplatin combination chemotherapy. 2. Provide analgesic treatment; if there is chest and back pain, provide morphine and other analgesic symptomatic supportive treatment. 3. Nutritional supportive treatment. If skin cancer cannot tolerate radiotherapy, nutritional supportive treatment such as amino acid and fat milk should be given. 4. Zoledronic acid treatment, zoledronic acid belongs to bisphosphonic acid compounds, which mainly acts on human bones, inhibits osteoclasts, inhibits osteoclasts resorption, and relieves bone destruction, etc. Some patients consider vertebroplasty or cementoplasty to protect the thoracic vertebrae. 5. Radiotherapy, skin cancer metastasis to thoracic spine can be treated with palliative radiotherapy to improve symptoms. For skin cancer metastasis to thoracic spine, it is recommended to go to the hospital in time for clear diagnosis and treatment to avoid delaying the condition.