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Background: We investigated the feasibility of reirradiation with intensity-modulated radiotherapy (IMRT) for recurrent T1-T2 nasopharyngeal carcinoma (NPC) by assessing long-term survival and late complication rates.Methods: Sixty patients who had been previously irradiated were diagnosed with locally recurrent T1-T2 NPC and underwent re-irradiation with IMRT.Severe radiation toxicities were assessed.