This is a retrospective study comparing esophageal cancer incidence among Asian/Pacific Islanders and Caucasians between Hawai'i and nationally, identifying patterns specific to Hawai'i. SEER*SAT was used for statistical analysis. In Hawai'i, esophageal cancer incidence between the two study groups were similar, but nationally higher in Caucasians. These findings are unique to Hawai'i. More detailed and consistent registries are needed.