( lye ) or acids. ? Particular dietary substances, such as nitrosamine . ? Obesity increases the risk of adenocarcinoma fourfold ? Drinking large quantities of hot beverages, especially hot brewed teas 9 Decreased risk ? Risk appears to be less in patients using aspirin or related drugs ? green and yellow vegetables and fruits are associated with a decreased risk of esophageal cancer." ? Moderate coffee consumption is associated with a decreased risk. ? eating pizza more than once a week appears "to be a favorable indicator of risk for digestive tract neoplasms in this population." 10 Diagnosis ? barium swallow or barium meal ? endoscopy ; Biopsies ? Computed tomography (CT) ? FDG-PET (positron emission tomography) scan ? Esophageal endoscopic ultrasound (EUS)