Background: Recurrences in vulvar cancer are a very important problem. It is estimated that even in multimodality treatment, about 10-20% of patients with the early stage and 50-70% with the advanced disease will develop recurrences. Interstitial High Dose Rate (HDR) Brachytherapy as a “boost” or as a sole treatment is one of the possible techniques in local failures in vulvar cancer therapy.

Case report: We report a case of a vulvar cancer local recurrence in a 90-year-old patient after primary surgery who was treated successfully and radically with interstitial HDR brachytherapy.

Conclusion: Interstitial HDR Brachytherapy in selected patients with a vulvar cancer local recurrence is

an effective and safe method which allows to preserve organ functions with good cosmetic results.