<prompt> Hematemesis is not the most common symptom ofEsophageal varicesGastric ulcerCarcinoma esophagusZollinger Ellison syndrome  <response>: Clinical features of Carcinoma esophagus Early stage cancers: Asymptomatic or mimic symptoms of GERD MC symptom : Dysphagia Weight loss Most patients with esophageal cancer present with dysphagia and weight loss, symptoms that usually indicate advanced disease Choking, coughing and aspiration from a tracheoesophageal fistula In advanced cases Hoarseness and vocal cord paralysis from direct invasion into the recurrent laryngeal nerve In advanced cases MC site of metastasis : Liverlungbone Paraneoplastic manifestation associated with adenocarcinoma : Motor neuropathy Ref: Sabiston 20th edition Pgno : 1038 