We herein report a case of the effectiveness of 4 Gy single fraction high-dose-rate mold brachytherapy in the palliative treatment of a painful recurrent soft palate carcinoma in a previously irradiated field. A 73-year-old man with a painful recurrent squamous cell carcinoma in the right soft palate in a previously irradiated field was treated with high-dose-rate mold brachytherapy. Although only 4 Gy could be delivered, the patient showed a reduction in the degree of pain in the right soft palate after the treatment. Unfortunately, the patient died of interrecurrent disease with pleural metastases five months after the brachytherapy.
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