On long term dialysis, diagnosed with Stage 1/2 oesophageal cancer

I have been on dialysis for 27 years now. During my workup for a kidney transplant, they found a polyp in the GE junction. A biopsy and a Contrast enhanced CT scan revealed a malignant tumour. A PET CT revealed this was early stage and not spread anywhere else. I have portal hypertension and a liver with severe fibrosis due to Hepatitis C which was treated after 12 years with the disease in 2017.

The doctors are considering 3 options:

1. Endoscopic removal - They are planning an Endoscopic Ultrasound to determine the feasibility of removing the tumour endoscopically.

2. Immunotherapy - They have asked the lab to check the biopsy sample for MMR which will let them know the chance of success of Immunotherapy.

3. Surgical removal - Last option as the surgery can be complicated with a lot of bleeding due to the liver issue. Liver decompensation is also a risk with this.

I was wondering if there was anyone here who had a similar problem and what they did and how did it turn out? Anyone on dialysis and a liver issue and oesophageal cancer?

Thanks so much!