Case sharing: history and treatment history: the patient complained of pain in the right shoulder, right low back and left side of the chest in July 2015 with no obvious cause, with intermittent episodes of pain, occasional nausea and discomfort, without fever, shortness of breath, vomiting, diarrhea and other discomforts, and no further treatment was given at that time. in mid-November 2015, he felt limited movement of the right upper limb shoulder joint, and the above pain symptoms worsened, so he was consulted at the local In mid-November 2015, he felt limited movement of the right upper limb shoulder joint, and the above pain symptoms worsened, so he visited the local hospital for CT and MRI: fracture destruction of the right upper humerus and left accessory fracture of chest 4, and considered bone metastasis. He came to our hospital again for further treatment, and was admitted to our department as “1. Bone metastasis of right upper humerus 2. Metastasis of chest 4”. Since the onset of the disease, the patient had poor appetite, poor mental health and sleep, constipation, normal urine, and weight loss of about 10 pounds. In order to relieve the above-mentioned pain and prevent the patient from developing high paraplegia, after active communication with the family, microwave inactivation of right upper humeral metastases, plate and cement reconstruction, scraping of metastases from the thoracic 4 vertebral appendage, expanded decompression of the spinal canal and particle implantation were performed. Pathology: metastatic hypofractionated adenocarcinoma. Liu Bin, Department of Bone Oncology, Affiliated Cancer Hospital of Guangxi Medical University, preoperative and postoperative review imaging: bone metastasis of cancer indicates that the disease process has entered the middle and late stage, and many patients in this period are no longer suitable for surgery, but for some patients it is still possible to perform surgical resection to slow down the development of the disease, let’s understand which cases of bone metastasis of cancer still have hope for surgery. I. If the bone metastasis occurs in an important area, such as the spine, and there is a risk of compression of nerve paralysis if not treated, then active treatment is recommended. Bone metastases that destroy bones and cause fractures, most commonly in the femur and humerus, also require surgery to fix them, because these fractures are not like traumatic fractures that can grow on their own. When a fracture does not occur but the bone is damaged, it is likely that the fracture will occur soon, it is also necessary to perform preventive surgery. Thirdly, if there is only one metastasis in the whole body, then aggressive surgery may still give the patient a chance to be cured. The principle of surgery for bone metastasis cancer is simple. Through simple surgery, all the above cases can get pain relief and bone fixation, and can resume life as soon as possible. Of course, not all patients with bone metastases are suitable for surgical treatment. Patients with poor general health, multiple metastases in the lungs or brain, and those who cannot withstand surgical trauma are not suitable for surgical resection. Not every lesion needs to be surgically removed if there are multiple bone metastases throughout the body. These patients may be considered for some minimally invasive or systemic treatment. In conclusion, surgical resection is the simplest, most direct and effective treatment for bone metastases. Surgery can significantly relieve the symptoms and improve the quality of life. The advice for cancer patients with bone metastases is to promptly visit a specialized bone oncology department to provide individualized and comprehensive treatment strategies for patients. This article is authorized by Dr. Bin Liu and should not be reproduced without authorization .