Present study was carried out in three years’ duration (2002- 2004) to investigate the risk factors of esophageal cancer in Iranian Turkmens (Northeast of Iran; where the esophageal cancer is the most common world wide). Concerning registered cases of esophageal cancer in the region, 139 cases were selected. Controls matching in terms of age and sex were 500 healthy individuals. Furthermore, a questionnaire was designated with several questions including: personal characteristics, family history of cancer, possible disease background, and addiction to cigarettes or drugs, and presence of any particular dietary habits. The questionnaires filled with free will (voluntarily) by cases and controls. The collected data was analyzed by SPSS 10.0 software. The mean age of people under study was 60 years. The studied cases were significantly correlated with their first line relatives in term of cancer contraction (P=0.001 and OR=7.6). It was also significant in second and third line relatives (P=0.042 and OR=3.38). There was a significant correlation considering the consumption of stale food and butter with esophageal cancer. As a conclusion, in addition to mentioned risk factors, some other factors as mode of nourishment, employment status, special hygienic habits and inheritance were important factors in esophageal cancer etiology among the studied subjects. [Turk J Cancer 2007;37(1):16-21]