Thoracic spine metastasis after paraganglioma surgery is currently treated by surgical treatment, drug treatment, anti-tumor drugs combined with chemotherapy, and other treatments (e.g. radiotherapy, gamma knife, radiofrequency ablation). 1. Surgical treatment: if meet the indication of surgery after metastasis, local surgical resection can be chosen. 2. Drug therapy: such as octreotide, lanreotide, can be used for patients with unresected tumor and distant metastasis. 3. Anti-tumor drug combination chemotherapy: such as cyclophosphamide, vincristine and dacarbazine regimen and temozolomide and thalidomide combination regimen. 4. Other treatments: Radiotherapy, gamma knife, radiofrequency ablation and other local treatments for tumors and metastatic lesions can reduce some of the clinical symptoms of patients and improve the quality of life. If thoracic spine metastasis occurs after paraganglioma surgery, it is recommended to make a treatment plan under the guidance of doctor and actively treat it. All of the above drugs are prescription drugs and cannot be used on their own.