Thoracic intraspinal nerve sheath tumor requires surgical resection. Thoracic intraspinal nerve sheath tumor is a benign tumor, the probability of it becoming malignant is small, and there is no effective drug treatment at present. If it is asymptomatic, it is usually found during physical examination, and if the tumor is small and does not have obvious symptoms of compression of nerves, it can be examined regularly, and if there is no obvious increase in size at the time of examination, there is no need for special treatment. If the tumor is large, with obvious symptoms of nerve compression or obvious signs of malignant transformation, it is advisable to perform surgical resection. If the tumor is found in the thoracic spine, one should go to the regular hospital in time, and the doctor should judge the specific condition according to the symptoms, signs and auxiliary examination, and choose the correct treatment according to the condition.