29 year-old woman with gastroesophageal reflux symptoms. Endoscopy revealed changes of Barrett's disease, and this 1 cm raised, firm, yellow lesion in the mid-esophagus. On biopsy, this proved to be a granular cell tumor. Granular cell tumors are of neural origin from Schwann cells, usually behave in a benign fashion, and can arise virtually anywhere in the body, including skin, oral cavity, breast and GI tract.