Lymph node metastasis under the rudiment of esophageal cancer suggests that the tumor has entered the middle or late stage, which is often treated by radiotherapy, chemotherapy, targeted therapy and daily conditioning. 1. Radiotherapy: local radiotherapy or particle implantation is mainly applied to the lesion to inactivate the lesion through rays, and the changes of the lesion should be closely monitored. 2. Chemotherapy: after the emergence of corresponding conditions, chemotherapy is a routine treatment plan, commonly used drugs include cisplatin and paclitaxel, etc., closely monitor the liver and kidney functions during the treatment. 3. Targeted therapy: For the situation that the primary tumor has gene mutation, targeted drugs can be applied to the target point, commonly used drugs include trastuzumab, erlotinib and so on. 4. Daily adjustment: Try to adjust the dietary condition, match the nutrition, enhance the physical quality, need to carry out outdoor activities appropriately, adjust the physical condition, and must pay attention to ensure the relaxation of mind, which is helpful for the recovery of the disease. If esophageal cancer has metastasis in lymph nodes under the rudimentary process, accompanied by obvious digestive abnormalities or even bleeding symptoms, it is necessary to consult a doctor in time, and carry out standardized treatment under the guidance of clinicians, so as to improve the quality of survival as much as possible.