Occupying lesions in the lower esophagus (esophagus) may not necessarily be esophageal cancer, but may also be benign esophageal tumors, and further examination is recommended. Patients with occupying lesions in the lower esophagus need to be alerted to esophageal cancer. Esophageal cancer belongs to malignant tumors with complex etiology, which may be related to poor dietary habits, long-term smoking or intake of nitrosamine compounds. In addition to esophageal cancer, some occupying lesions in the lower esophagus may also be caused by benign esophageal tumors. For benign esophageal tumors, common diseases include esophageal polyps, esophageal papillomas, hemangiomas, esophageal smooth muscle tumors, esophageal mesenchymal tumors and so on. The etiology of benign esophageal tumors is also complex, and may be related to chronic inflammation of the esophagus, long-term dietary inappropriateness, and micronutrient deficiencies, etc. Symptoms depend on the location and size of the tumor, and may be accompanied by symptoms such as difficulty in swallowing, vomiting, and so on. It is recommended that patients with occupying lesions in the lower esophagus should undergo further detailed examination in order to diagnose the disease in combination with medical history and symptoms. Those who are diagnosed with esophageal diseases should adjust their mindset and actively cooperate with doctors for treatment.