CENTRAL GIANT CELL GRANULOMA: CASE REPORT
A 16-year-old male was referred to an oral and maxillofacial surgeon after an asymptomatic, well-defined radiolucent lesion was detected in the right mandibular body on a panoramic radiograph. During extraoral physical examination, no abnormalities were noted. However, an intraoral examination revea...
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| Published in: | Oral surgery, oral medicine, oral pathology and oral radiology Vol. 137; no. 6; p. e170 |
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| Main Authors: | , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
Elsevier Inc
01-06-2024
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| Online Access: | Get full text |
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| Summary: | A 16-year-old male was referred to an oral and maxillofacial surgeon after an asymptomatic, well-defined radiolucent lesion was detected in the right mandibular body on a panoramic radiograph. During extraoral physical examination, no abnormalities were noted. However, an intraoral examination revealed an increase in volume in the area of teeth 42 and 43 that was firm to the touch and extended into the vestibule. A tomography scan showed fenestration of the vestibular and lingual cortical. Under local anesthesia, an aspiration of the lesion revealed no content, prompting an excisional biopsy with complete enucleation of the lesion followed by ostectomy. Histological analysis revealed a fusocellular proliferation rich in giant cells, with hyaline stroma and old bleeding areas, which could also suggest a brown tumor of hyperparathyroidism; however, this was ruled out with a normal parathormone dosage. The final diagnosis was central giant cell granuloma. Two years of radiological follow-up showed no signs of recurrence. |
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| ISSN: | 2212-4403 2212-4411 |
| DOI: | 10.1016/j.oooo.2023.12.112 |