Abstract
Patterns of failures after definitive radiation therapy were analyzed in 88 patients with primary carcinoma of the vagina treated between 1957-1975. The majority of the local failures in early stages of the disease (I, II and a few III) were due to inadequate teatment either by external beam therapy or brachytherapy. In some cases the inadequte treatments were unavoidable (previous radiation treatment) and in a few they were due to poor brachytherapy technique. Distant failures are still a problem and need to be given further attention.

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