Snapshot A 62-year-old man presents to the physician with complaint of fatigue and weight loss. His wife noted that he has looked thinner in the past few months, at which point he weighed himself and noted that he had unintentionally lost 10 pounds in the past few months. He has also had increased difficulty swallowing his food with occasionally choking. He has a history of alcohol use disorder and has smoked 1 pack of cigarettes daily for the past 40 years. An upper endoscopy is performed and demonstrates the finding seen in the image. Introduction Overview login to view 2 more bullets Epidemiology login to view 23 more bullets Prognosis login to view 3 more bullets Presentation History login to view 1 more bullet Symptoms login to view 6 more bullets Physical exam login to view 2 more bullets Studies Upper gastrointestinal endoscopy login to view 1 more bullet Histology login to view 4 more bullets Differential Gastroesophageal reflux disease (GERD) login to view 2 more bullets Treatment Medical login to view 7 more bullets Surgical login to view 6 more bullets Complications Esophageal obstruction Metastasis login to view 1 more bullet