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Cancer of the esophagus is the eighth most common cancer in the world, and survival of the patients is universally poor. There are two major histologic types of oesophageal cancer, esophageal squamous cell carcinoma (ESCC) and adenocarcinoma. Their epidemiological features differ considerably. Screening and surveillance in patients at risk have been advocated. The current diagnostic, screening, and surveillance methods for oesophageal cancer, such as upper gastrointestinal (GI) endoscopy, barium oesophagram, non-endoscopy-based balloon cytology, and serology markers (such as CYFRA 21-1), have certain limitations in their own ways.