Objective To discuss the X-ray features of esophagus small cell carcinoma.Methods30 cases with fully clinical and X-ray examination data,which were confirmed byoperation and pathology,were studied retrospectively.ResultsOf 30 patients,27 were maleand 3 were female.The age ranged from 36~66 years old.The average age was 55. In X-ray plain film,the lesions of 23 cases located in the middlepiece of esophagus,and 7 in the lowersegment of esophagus.The cancer cell of 11 cases erosioed muscular layer of esophagus,and19 erosioed adventitia of esophagus.In the following-up of 20 patients, 16 died in 1year.ConclusionEsophagus small cell carcinoma usullary occur in the middlepiece or lowersegment of esophagus, of which clinical manifestations and X-ray signs are similar to the othertypes of esophagus carcinoma. Esophagus small cell carcinoma is of high malignant, shortcourse of disease, growth quickly and easy to transfer. Early diagnosis, performing operation,systematic chemical therapy and radiation therapy are helpful to good prognosis.