Carcinoma of the esophagus remains one of the most lethal of all cance
rs. In the past, squamous cell carcinomas accounted for over 95% of es
ophageal malignancies. Over the past two decades, however, there has b
een a dramatic increase in the incidence of adenocarcinoma arising in
columnar cell-lined Barrett's mucosa, accounting for up to 34% of all
esophageal cancers in some areas. This article discusses the different
demographic, pathologic, therapeutic, and prognostic features of squa
mous cell and adenocarcinoma of the esophagus.