A study on 23 enrolled patients with esophageal cancer who received 2 cycles of neoadjuvant treatment of dose-limiting chemotherapy combined with sequential pembrolizumab...After neoadjuvant therapy, the percentage of patients with a pathological major response (MPR) was 39.1% (9/23), consisting of 21.7% (5/23) completed pathological response (cPR)...Tumor mutational burden (TMB) was higher in the MPR group than in the non-MPR group at baseline...Additionally, TMB, CD8+ T cells, and Treg cells are associated with clinical benefits during treatment.