Are there any situations in which you would offer brachytherapy alone instead of whole pelvis RT +/- brachytherapy for an endometrial cancer vaginal cuff recurrence?  

Limited series in past where only brachytherapy alone was done for salvage without EBRT reported high pelvic nodal relapseOne such series is https://www.ncbi.nlm.nih.gov/pubmed/27614661The only situation where I have done brachy alone is in patients who have had previous EBRT or have other contrai...

I agree with Sushil.  I worry about local as well as nodal recurrences because the dose at depth tends to be low from intracavitary and it can be difficult to determine the depth of the CTV at risk for microscopic disease in such cases. I would only consider treatment with brachytherapy al...