What is the highest dose to which you treat a locally advanced esophageal cancer with a stent in place?

Shin et al., PMID 15640412

Since it appears that covered temporary or permanent stents are relatively safe with radiotherapy and that the palliative and curative doses are the same, 5040 cGy should be reasonable.

The addition of chemotherapy will definitely increase toxicity but may be considered for...

I still treat with chemoradiation, but sometimes do back off to 45Gy instead of going to 50.4 if there's a decent amount of gastric involvement. Perhaps that's overly cautious, however.