A case of radionecrosis mimicking metastatic tumor of the cerebral hemisphere.
A case of delayed radiation necrosis of the cerebral hemisphere in a patient with irradiation after orbital adenocarcinoma surgery is presented in order to warn of a possible misdiagnosis with a metastatic CNS tumor. In the case surgical treatment of orbital adenocarcinoma was followed by X-ray therapy. Focal necrotic changes appearing two years later were the cause of neurological symptoms.
Barcikowska
M
M
Department of Neuropathology, Medical Research Centre, Warszawa.
Chodakowska
M
M
Klimowicz
I
I
Liberski
P P
PP
D000230:Adenocarcinoma / Q000532:radiotherapy / Q000556:secondary / Q000601:surgery; D000368:Aged; D001479:Basal Ganglia / Q000473:pathology; D001927:Brain Diseases / Q000175:diagnosis*; D001932:Brain Neoplasms / Q000175:diagnosis* / Q000556:secondary; D001933:Brain Stem / Q000473:pathology; D002531:Cerebellum / Q000473:pathology; D002540:Cerebral Cortex / Q000473:pathology; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D009336:Necrosis / Q000473:pathology; D009918:Orbital Neoplasms / Q000532:radiotherapy / Q000601:surgery; D011832:Radiation Injuries / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed