Breast carcinoma metastasizing to the cervical esophagus

Tumor metastasis to the esophagus is rare. While breast carcinoma metastasizing to the thoracic esophagus has been described, there are no reported cases of spread to the cervical esophagus. Two patients, having had mastectomy for breast carcinoma several years previously, presented with cervical esophageal obstruction secondary to metastatic disease. Tumor resection with cervical esophageal reconstruction is advocated for palliation. The details of the history, diagnosis and surgical technique are presented.