We present a case of small cell esophageal carcinoma (SCEC) treated with al
ternated chemotherapy (including cisplatin, etoposide, vincristine, cycloph
osphamide and doxorubicin) and irradiation (36 Gy) followed by surgery. Des
pite a pathological complete response, the patient died of regional disease
recurrence 29 months after the diagnosis. We reviewed the available litera
ture on SCEC with regard to the incidence, clinical symptoms, radiological
signs, diagnostic workup, therapeutic modalities and prognosis of this mali
gnancy.