An unusual presentation of aggressive central giant cell granuloma

Abstract

Central giant cell granuloma (CGCG) is an intraosseous lesion which occurs as an uncommon benign condition in jaws. World health organization defines this intraosseous lesions as "a lesion that contains multiple foci of hemorrhage," consisting of cellular fibrous tissue, and there is trabeculae of woven bone. It may become aggressive leading to expansion and perforation of the cortex. Mobility and displacement of the involved teeth and root resorption are often observed. Here is a case report of an 18-year-old female patient who is diagnosed with an aggressive type of CGCG.

An aggressive central giant cell granuloma of maxilla: Diagnostic dilemma, Precise differential diagnosis and successful traditional surgical approach: A case report

“…All these clinical and radiographic findings in our case were coincided with an aggressive form feature, which in agreement with many previous studies, especially Mezzour et al, 2017 (33) , Bonolis et al 2017 (34) and Elitsa 2013 (35) who reported that an aggressive lesion is characterized by one or at least three of the above mentioned aggressive form features. The final diagnosis is based on its histopathological features, despite the clinical and radiological features are not pathognomonic (36) and often confused with other jaw lesions that pose challenge to oral diagnostician. (37) In our presented case, the provisional diagnosis was considered to be RC.…”