Nouraei SAR, et al. - Authors investigated the concordance between the presence of pharynx- localised dysphagia (PLD) and the location of the underlying disease processes. As per data, there was a greater likeliness of pharynx-localised dysphagia to be a referred symptom of the structural oesophageal disease, including cancer vs a primary symptom of the structural pharyngeal disease. The possibility of oesophageal cancer was not adequately excluded with the absence of additional alarm symptoms such as a short history, weight-loss, and odynophagia. Cancer could be presumed to be arising from the oesophagus or the cardio-oesophageal region when the differential diagnosis of PLD included malignancy until proven otherwise. Irrespective of whether the initial assessment occurs within head and neck or upper gastrointestinal suspected cancer pathways, the need for direct visualisation of the mucosal surfaces of the oesophagus and the cardio-oesophageal region, using either transoral or transnasal flexible endoscopy, irrespective of whether the initial assessment occurs within head and neck or upper gastrointestinal suspected cancer pathways was noted.