Definitive chemoradiotherapy is the standard of care in unresectable esophageal or esophagogastric cancer. A multidisciplinary approach, including chemotherapy and radiotherapy, is important for these patients. Morerover, molecular targeting agents does not show clear efficacy in EC up to now. Nowadays, the pace of development of cancer immunotherapies is accelerating. Clinical evidence of the efficacy of immune checkpoint inhibitors and adoptive immunotherapies herald the onset of a new era in cancer immunotherapy. There have also been recent developments to provide a promising frontier in extending the use of immunotherpay or targeting agents to radiotherapy. The purpose of this study was to explore the optimal treatment modalities including PD-1/PD-L1 antibody or targeted drug for patients with unresectable esophageal or esophagogastric junction cancer.
≥18 years；
Esophageal or Esophagogastric cancer；
Histologically proven squamous cell carcinoma or adenocarcinoma in patients staged as I-IVa(AJCC 8th)；
Primary treatment performed in Cancer Hospital, Chinese Academy of Medical Sciences；
With any distant metastasis out of regional lymphatic drainage or in liver, lung, bone, CNS, etc；
Patients with other cancer history in 5 years except cervical carcinoma in situ and non-malignant melanoma skin cancer；
Existing active infection such as active tuberculosis and hepatitis；
History of myocardial infarction within the past 6 months or history of ventricular arrhythmia；