The usefulness of reirradiation in the treatment of pelvic recurrence of rectal and gynaecological tumours

pelvic tumors recurrences have diminished with the modern radiation therapy techniques. however, they are still observed, with or without distant metastases, leading to a serious and even mortal disease. the choice of an adequate therapy poses a clinical challenge. one of the procedures is the repetition of radiation therapy. in this review we manifest how complex is the treatment of gynecological and rectal tumors recidivations, and the importance of a detailed consideration of the available therapies in order to make a decision, specially when the primary tumor has been previously irradiated, be it as only treatment or combined with other therapies.