Esophageal cancer is the eighth most commonly diagnosed cancer and the sixth most common cause of cancer related mortality globally. There are two different types of esophageal cancer, esophageal squamous cell carcinoma (ESCC) and esophageal adenocarcinoma (EAC), each accounting for half of the cases. EAC develops in the lower one third of the esophagus as a consequence of chronic gastroesophageal reflux disease (GERD) from precancerous metaplastic condition Barrett's esophagus (BE). Apart from GERD and BE which are major risk factors for EAC, other known risk factors include age, male gender, obesity, Caucasian race, low intake of fruits and vegetables in diet, and Helicobacter pylori negative status. Due to changing life style and prevalence of risk factors, the incidences of EAC have been rising for past few decades and now it has become one of the fastest growing malignancies. The survival rate is very poor with only 1 in 5 patients survive more than 5 years after EAC diagnosis, likely due to diagnosis at late stages. To diagnose early treatable dysplastic changes in progression from BE to EAC, BE patients undergo routine endoscopy-biopsies, with the biopsy evaluated by a histopathologist to confirm the dysplastic changes. This current method is invasive and prone to sampling error as well as interobserver variability. Endoscopy requires patient hospitalization and specialist appointment, leading to high expense. Moreover, BE is an asymptomatic condition which means a pool of BE patients are undiagnosed hence not enrolled into the surveillance program. Collectively, it has been shown that current endoscopy-biopsies based diagnostic is impractical and expensive for population wide BE screening or surveillance programs.In contrast to endoscopy-biopsy, biomarkers from the blood are amenable to populationscreening strategies, due to the ease of access and low cost of testing. Moreover, EAC pathogenesis has been associated with changes in the serum glycan profile. However, specific glycoproteins that undergo differential glycosylation are unknown. Therefore, the aims of this thesis were to (i) identify serum diagnostic glycoprotein biomarker candidates for BE and EAC using biomarker discovery pipeline, (ii) develop a targeted proteomics approach to measure biomarker candidates for timely verification, (iii) verify serum glycoprotein candidates in an independent patient cohort, and (iv) test feasibility of using electrochemical detection methodology for the glycoprotein detection.This translational research project utilizes lectins, naturally occurring proteins with specificity to bind with glycan structures, as affinity agents to isolate glycoproteins with different glycan structures. Our laboratory has previously established lectin magnetic bead array (LeMBA) methodology to identify serum glycoprotein biomarker candidates showing differential lectin ii binding (Loo et al., J Proteome Res 2010 and Choi et al., Electrophoresis 2011 Mass spectrometry methods employed for biomarker discovery and verification...