Early esophageal cancer can present with pain behind the sternum. Tumor compression of esophagus in early stage of esophageal cancer will cause pain in the area of esophagus. Patients feel pain behind the chest, which is often accompanied by burning sensation, and the pain is usually tugging pain or pins and needles pain. Patients often have epigastric discomfort, hiccups and belching, feeling of stagnation or mild obstruction in eating. With the development of the disease, in the middle and late stages of the disease, patients may manifest difficulty in swallowing, inability to eat, worsening pain, body wasting, fever and other manifestations. In order to understand the condition, esophagography, electronic gastroscopy, pathological tissue biopsy, blood routine, tumor markers and other related examinations are needed. Patients who have the above symptoms should consult the doctor in time, do not delay the condition, and need to standardize the treatment under the guidance of physicians.