How do you treat localized esophageal carcinoma in patients who are unwilling or unable to undergo chemotherapy or surgery?   

If a patient is unable or unwillling to undergo dual or tri-modality therapy with chemotherapy or surgery, would you use a palliative radiation treatment dose or would you try to treat to higher dose (>50 Gy) despite lack of evidence for dose escalation benefit?  

Answer from: Radiation Oncologist at Academic Institution