Symptoms of spinal metastasis of small cell lung cancer include symptoms of primary tumor of small cell lung cancer, such as cough, chest pain, chest tightness and breathlessness, etc., symptoms of spinal metastasis, such as headache, limb paralysis, generalized pain in limbs, etc., as well as systemic symptoms, such as fever and fatigue. 1. The primary tumor symptoms of small cell lung cancer mainly focus on the lungs, commonly including coughing, coughing up sputum, chest tightness and shortness of breath, dyspnea and so on. 2. Due to different sites of spinal metastasis, patients may have more clinical symptoms, such as headache, poor limb movement or hemiplegia, paraplegia, sensory abnormalities such as sensory loss or numbness of limbs, or pain in limbs. 3. Spinal metastasis indicates that the patient’s stage is late, so many patients will have systemic symptoms, such as fever, generalized fatigue and weakness, extreme emaciation and so on.