We experienced twenty-one patients of esophageal cancer from march 1987 to october 1992. The age ranged from 27 to 74 years old and male patients were twenty. The most common symptom was dysphagia (90.0%) and the most frequent site was midesophagus (52.4%). 15 patients were managed with curative resection and 6 patients with feeding jejunastomy or gastrostomy. The histologic types were squamous cell carcinoma in 20 patients and adenocsarcinoma in one patient. Among 15 patients with curative resection, stage I was found only in 1 patiient, stage II in 7 patients and stage III in 7 patients. Postoperative complications occurred in 7 patients (33. 3%). Among them, passage diturbance developed in 3 patients, and pleural effusion and pneumonia in 3 patients. 12 patients expirecl during follow-up period. Mean survival was 7.6 months in 12 expired patiennt, 14.3 months in curative resection group and 2.2 months in nonresected group. One year survival rate was 53.5% in resected group but 0% in nonresected group.