Inclusion Criteria:

1. Age ≥ 18 and ≤75

2. ECOG performance status 0-2

3. Histologically proven primary thoracic esophageal squamous cell carcinoma before

4. Diagnosis of regional lymph nodes (biosupravascular fossa or upper mediastinum)
recurrence after radical esophagectomy, based on pathological finding or imaging
showing lymph nodes enlargement

5. Period from esophagectomy to diagnosis of regional lymph nodes recurrence should be
more than 6 months

6. Without prior radiotherapy

7. Weight loss no more than 10% in the past 6 months

8. WBC≥ 4.0X109/L ,Absolute neutrophil count (ANC) ≥ 2.0X109/L

9. Platelets ≥ 100X109/L

10. Hemoglobin ≥ 90g/L(without blood transfusion)

11. AST (SGOT)/ALT (SGPT) ≤ 2.5 x upper limit of normal, Bilirubin ≤ 1.5 x upper limit of
normal

12. Creatinine ≤ 1.5 x upper limit of normal

13. Sign study-specific informed consent prior to study entry

Exclusion Criteria:

1. With recurrence or metastasis other than regional lymph nodes (biosupravascular fossa
or upper mediastinum)

2. Prior invasive malignancy (except non-melanomatous skin cancer) unless disease free
for a minimum of 2 years (For example, carcinoma in situ of the breast, oral cavity,
or cervix are all permissible).

3. Severe, active comorbidity, defined as follows:

3.1 Unstable angina and/or congestive heart failure requiring hospitalization within
the last 3 months 3.2 Transmural myocardial infarction within the last 6 months 3.3
Acute bacterial or fungal infection requiring intravenous antibiotics at the time of
registration 3.4 Chronic obstructive pulmonary disease exacerbation or other
respiratory illness requiring hospitalization or precluding study therapy at the time
of registration 3.5 Acquired immune deficiency syndrome (AIDS) based upon current CDC
definition; note, however, that HIV testing is not required for entry into this
protocol. The need to exclude patients with AIDS from this protocol is necessary
because the treatments involved in this protocol may be significantly
immunosuppressive.

4. Pregnancy or women of childbearing potential and men who are sexually active and not
willing/able to use medically acceptable forms of contraception.

5. Prior radiation therapy or prior target drug therapy