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Neuroendocrine tumors are rarely found in the esophagus. We present a case of a 71 year old female with a history of Barrett's esophagus with high grade dysplasia that on screening endoscopy was found to have a squamous patch proximal to the gastroesophageal junction and underwent an endoscopic mucosal resection. Within the resection, there was a small tumor with a monomorphic population with speckled nuclear chromatin located within the lamina propria extending into the muscularis mucosae. The tumor measured 1 mm in greatest dimension and the overlying epithelium showed no evidence of the presence of Barrett's esophagus. Immunohistochemical staining of the tumor was consistent with carcinoid tumor: positive for chromogranin, synaptophysin, and pan-cytokeratin. The Ki-67 index was