Locally invasive CGCG of mandible: A case report

Authors : Vishal Rana, Vishal Rana, Savina Gupta, Savina Gupta, Aakansha Bhardhwaj, Aakansha Bhardhwaj, Jai Narula, Jai Narula

DOI : 10.18231/j.idjsr.2021.031

Volume : 9

Issue : 3

Year : 2021

Page No : 167-170

Background: Central giant cell granuloma (CGCG) is a benign, aggressive, destructive osteolytic lesion of osteoclastic origin. The three competing theories are that it could be a reactive lesion, a developmental anomaly or a benign neoplasm.CGCG of the jawbones can be classified as non-aggressive or aggressive. It has been observed that in a majority of the cases, the non-aggressive lesions are usually slow growing, symptom free and the treatment includes conservative surgical procedures. The treatment of aggressive CGCG is en-bloc resection which has a low recurrence rate, but requires major reconstruction.
Case Report: The following report illustrates the differential diagnosis, surgery, final diagnosis and pathology of a non-aggressive CGCG in an 11-year-old boy, which was managed by curettage with peripheral ostectomy not requiring major reconstruction of the mandible.
Conclusion: Surgery has always been considered to be the traditional treatment and it is still the most accepted. By preserving bone continuity prosthetic rehabilitation via implants can be safely performed.

Keywords: Central giant cell granuloma, Non-aggressive lesion, En-bloc resection, Peripheral ostectomy.


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