The main manifestations of esophageal cancer spread and metastasis are: lymph node metastasis around the esophagus, mediastinal lymph node metastasis, supraclavicular lymph node metastasis, or lymph node metastasis around the stomach are all manifestations of esophageal cancer spread and metastasis. Esophageal cancer can also metastasize to the liver, lung, bone and brain. Metastasis to the liver may cause poor appetite, jaundice, loss of appetite, etc. Metastasis to the lung can lead to multiple small nodules in the lung, cough, blood in sputum, pleural effusion, etc. Metastasis to the brain can present with clinical manifestations such as headache, vomiting, and epilepsy. When metastasized to bone, it is mainly pain of bones all over the body, back pain, incontinence of stool and urine, and even paraplegia. In conclusion, esophageal cancer is prone to spread through lymph nodes and metastasize to distant places through blood circulation.