Question: 55 y o caucssian male in general good health. non-smoker, nondrinker. hx of mild, rarely-episodic dysphagia, almost always occurring when eating beef steak too rapidly on an empty stomach. hx of intermittent, noncontinuous GERD, which generally would follow a late night spicy meal. I have had no baseline esophageal endoscopies performed.

my chief complaint is based upon approximately the past two weeks that I've been feeling a scratchy tight sensation in vicinity of my proximal (cervical) esophageal sphincter. been reading all the internet "horror stories" linking seemingly similar symptoms with esophageal adenocarcinoma. however, I have experienced no weight loss, no palpable nodes, no fever, or other systemic disruptions --- at least that I can discern. I run 5 miles a day. I have experienced no loss of energy. And I eat well.

I understand the difficulties of at a distance diagnoses. however, based on what I have conveyed, would you consider esophageal adenocarcinoma as one of the 'top of mind' differentials, given this set of facts?