Whether the 2cm esophageal bulge should be treated immediately needs to be decided according to the nature of the lesion at the bulge site, if it is a benign lesion that has no effect on life, it can be observed and treated for the time being; if the tumor is malignant and produces compression, it should be treated actively. If the bulge is caused by inflammatory hyperplasia and the symptoms are not obvious, it can be left unattended for the time being, and regular follow-up observation is sufficient. Considering that the bulge in this case is 2cm and the swelling is large, it may produce a sense of choking and compression of the airway during eating, so active intervention should be made. If the bulge is due to a malignant tumor, early surgical treatment is required. If the patient was found to have a 2cm esophageal bulge after examination, he should improve the relevant examinations, such as ultrasonic endoscopy, pathological type of the mass, etc., and cooperate with the doctor for active treatment in order to avoid adverse effects.