title: Asymptomatic Evolution and Regression of Temporal Lobe Necrosis After Adjuvant Radiation for Skin Cancer: A Case Report and Review of Literature.
abstract: Temporal Lobe Necrosis (TLN) is not an expected complication of adjuvant radiation therapy (RT) for skin cancers and has become uncommon otherwise in daily practice due to improved RT planning and modern delivery techniques. TLN is a great mimic and can be mistaken for disease recurrence, metastasis to the brain, or high grade primary brain tumor. This case report demonstrates the importance of diagnosing the entity, its natural evolution, and dosimetric correlation with published constraints.​ It emphasizes the importance of thorough clinical examination on follow-up and review of previous radiation plan when encountered with challenging differentials. We also provide a review of clinical presentations, imaging modalities, and management options for patients with suspected TLN.
authors.affiliation: Radiation Oncology, University of British Columbia, BC Cancer Agency.
authors.forename: Rima
authors.initials: R
authors.lastname: Pathak
authors.affiliation: Division of Radiation Oncology and Developmental Radiotherapeutics, University of British Columbia, BC Cancer Agency ; Radiation Oncology, University of British Columbia, BC Cancer Agency.
authors.forename: Gaurav
authors.initials: G
authors.lastname: Bahl
keywords: radiation therapy; skin cancer; temporal lobe necrosis