The patientıs history and findings at endoscopy are highly suggestive of esophageal adenocarcinoma. GERD is strongly associated with esophageal adenocarcinoma. The frequency, severity, and duration of symptoms in GERD have been associated with an increased risk of developing esophageal adenocarcinoma. In addition, the patients age, progressive dysphagia, and weight loss over short period of time are all suggestive of malignancy. Metastatic tumors to the esophagus are very rare. GERD has not been associated with the other findings listed.