Radiation and chemotherapy may also be used. Surgery is the most common treatment for either type of esophageal cancer. Esophageal cancer can spread, metastasize, to other organs in the body. When to see a doctorSymptoms of esophageal cancer include difficulty swallowing, severe weight loss, pain in the throat, back or behind the breastbone, vomiting or hoarseness. Signs and symptoms of esophageal cancer include: Difficulty swallowing (dysphagia) Weight loss without trying Chest pain, pressure or burning Worsening indigestion or heartburn Coughing or hoarseness Early esophageal cancer typically causes no signs or symptoms. The esophageal lining is not designed to be exposed to the acidic fluid from the stomach so it will cause inflammation in the esophagus and create a burning sensation or chest pain, also known as heartburn. Acid reflux is known to be one of the esophageal cancer culprits. Learn about 8 possible causes, risk factors, treatment, and prevention. A few signs of cancer may be seen in a few people. Diagnosis in people without symptoms is usually accidental because of tests run for other medical problems. Like many types of cancer, esophageal cancer in its early stages may be asymptomatic.