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Verify against current guidelines, primary literature, staging manuals, and prescribing information before clinical use.
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Esophageal / GEJ Cancer — Treatment by Histology
Esophageal /
GEJ cancer
Localized,
resectable
Neoadjuvant chemoRT
→ surgery
CROSS
Adjuvant nivolumab
if residual disease
CheckMate-577 ↗
Perioperative chemo
(adeno) — FLOT
FLOT4
Advanced —
adenocarcinoma
Nivolumab + chemo
PD-L1 CPS ≥5 — CheckMate-649 ↗
Trastuzumab + chemo
+ pembrolizumab
HER2+ — KEYNOTE-811 ↗
Chemo doublet
biomarker-negative
Advanced — squamous
cell carcinoma
Pembrolizumab + chemo
KEYNOTE-590 ↗
Nivolumab + chemo, or
nivolumab + ipilimumab
CheckMate-648 ↗