Evidence map›Paper›PMID 42873476›Full record

ReviewJournal of gastrointestinal cancer2026

Neoadjuvant and Perioperative Immunotherapy for Resectable Esophageal Squamous Cell Carcinoma: Current Evidence, Endpoints, and Clinical Integration.

Tamotsu Sagawa, Masahiro Hirakawa, Hiroyuki Nagashima, Koshi Fujikawa

Abstract readReview
PubMed Publisher
In one paragraph

Review in Journal of gastrointestinal cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Tamotsu SagawaDepartment of Gastroenterology, National Hospital Organization Hokkaido Cancer Center, Sapporo, Japan. sagawa.tamotsu.dy@mail.hosp.go.jp.ORCID http://orcid.org/0000-0002-1994-4795
Masahiro HirakawaDivision of Medical Oncology, Department of Internal Medicine, Sapporo Medical University School of Medicine, Sapporo, Japan.
Hiroyuki NagashimaDepartment of Gastroenterology, National Hospital Organization Hokkaido Cancer Center, Sapporo, Japan.
Koshi FujikawaDepartment of Gastroenterology, National Hospital Organization Hokkaido Cancer Center, Sapporo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune checkpoint inhibitors (ICIs) are being investigated across curative-intent treatment pathways for resectable esophageal squamous cell carcinoma (ESCC). Randomized studies show that programmed cell death-1 blockade can increase pathological complete response (pCR) when added to neoadjuvant chemotherapy, while immunochemoradiotherapy can produce high pathological response rates. This structured narrative review summarizes current evidence for neoadjuvant and perioperative immunotherapy in ESCC within the context of established chemotherapy and chemoradiotherapy backbones. Particular attention is given to randomized ICI trials, the role of radiotherapy, interpretation of pathological and survival endpoints, circulating tumor DNA (ctDNA), postoperative therapy, perioperative safety, clinical response assessment, and regional applicability. pCR is a useful early activity endpoint and may carry prognostic information within individual regimens, but definitions and pathological assessment vary and trial-level surrogacy for overall survival has not been established. Longitudinal ctDNA is promising as a complementary measure of molecular residual disease but remains investigational for treatment adaptation. When radiotherapy is combined with ICI, established thoracic organ-at-risk constraints and careful monitoring for overlapping pulmonary and esophageal toxicity remain important because ICI-specific normal-tissue constraints have not been validated. Clinical complete response assessment also requires multimodal evaluation; post-treatment inflammatory changes can limit CT and PET-CT specificity. Overall, current data support continued phase III evaluation of ICI-containing strategies with mature event-free and overall survival endpoints and with comparators appropriate to regional treatment standards.

Indexed as

Esophageal NeoplasmsEsophageal Squamous Cell CarcinomaImmune Checkpoint InhibitorsImmunotherapyNeoadjuvant TherapyHumansPathologic Complete ResponsePerioperative CarePrognosisRandomized Controlled Trials as TopicImmune Checkpoint InhibitorsChemoradiotherapyCirculating tumor DNAClinical response assessmentEsophageal squamous cell carcinomaNeoadjuvant immunotherapyPathological complete responsePerioperative immunotherapy

Identifiers

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.