Left hilar neoplastic lesion T8 vertebral metastasis is a symptom of advanced malignant tumor, which can be relieved by radiotherapy, surgery and rehabilitation. 1. Radiotherapy: left hilar tumor lesion T8 vertebral metastasis indicates that the local malignant tumor has already metastasized, and radiotherapy can be considered as a method to kill tumor cells as much as possible to control and slow down the development of the disease. 2. Surgery: if the tumor cells have already caused the destruction of thoracic vertebrae, resulting in pathological fracture, it is necessary to consider surgical treatment, such as traditional open surgery, to rebuild the structure of vertebrae and improve the function of thoracic vertebrae as much as possible. 3. Rehabilitation: Some patients may have paraplegia due to structural changes in the thoracic vertebrae, and need to improve their quality of life through rehabilitation, such as exercise therapy and occupational therapy. In the course of treatment, patients should pay attention to regular review and adjust the treatment plan according to the changes of their conditions under the guidance of doctors.