Thoracic spine tumor should go to the hospital for diagnosis and treatment in time. Different treatment plans are available for different pathological properties, mainly including surgery, radiotherapy, chemotherapy and other treatment methods. 1. Benign tumors of thoracic spine (1) Asymptomatic tumor can be observed. (2) Clinical symptoms, such as compression of nerves causing symptoms, require surgical resection. (3) Local recurrence of benign tumors can be operated again. 2. Malignant tumor of thoracic spine: it should be evaluated according to the condition. (1) If surgery is possible, surgical resection should be preferred, and postoperative treatment should be combined with radiotherapy and chemotherapy. (2) If there is no chance of surgery, surgical intervention, radiotherapy, and active systemic therapy can be carried out to improve the patient’s symptoms and the quality of survival. When thoracic spine tumors appear, it is necessary to actively consult the doctor and reasonably treat under the guidance of the physician.