First things first... why must a decision be made about esophagectomy after only one round of a first-line treatment?

If we are talking about possibly being cured of our esophageal cancer (and not just buying a little more time)... it's important to do things in order... and see what develops... what options become possible. These are unknown at this early stage, even to our oncologists, GI doctors, and thoracic surgeons. First-line chemo or chemoradiation treatments need to be completed... and then see what next scans show... and see what the tumor board recommends. Patients are still in charge, no one can force you to do anything. Let's wait and see what develops... then go from there.
Be well,
Gary