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Pelvic recurrences from previously irradiated gynecological cancer lack solid evidence for recommendation on salvage. A total of 58 patients were included in this clinical analysis. Salvage surgery was performed for locoregional relapse within previously irradiated pelvic area after initial surgery and adjuvant radiotherapy or radical external beam radiotherapy.The primary tumor diagnosis included cervical cancer (n = 47, 81%),uterine cancer (n = 4, 7%), and other types (n = 7, 12%). Thirty-threepatients received adjuvant IOERT(1984-200