Concomitant Central Giant Cell Granuloma and Aneurysmal Bone Cyst in a Young Child

Abstract

Although Central Giant Cell Granuloma (CGCG) is a benign tumor of the jaw and aneurysmal bone cyst seen in children, its aggressive behavior causes extensive loss of hard tissue requiring wide excision and extensive rehabilitation. We report a rare case of concomitant CGCG and aneurysmal bone cyst in a two-year-old male child, involving the coronoid and condylar process. Young age, large tumor, its aggressive nature, and future growth of orofacial region pose a significant challenge in the management of such conditions. For a successful outcome, the systematic approach to the presurgical evaluation and appropriate treatment planning is essential for such conditions.

Common conditions associated with displacement of the inferior alveolar nerve canal: A radiographic diagnostic aid

“…However, their occurrence in the coronoid process and the mandibular condyle is rare (2%) 13. This type of cyst has a predilection for females and usually occurs in the first 3 decades of life 14. An aneurysmal bone cyst is a painful and rapidly growing cyst that causes bone swelling.…”

“…Their radiographic appearance (Fig. 4) may vary from unilocular radiolucency to a “ballooned-out” multilocular radiolucency with a honeycomb or soap-bubble pattern 1415. Aneurysmal bone cysts can cause expansion, destruction and perforation of bone, and soft tissue herniation 1516.…”

“…Aneurysmal bone cysts can cause expansion, destruction and perforation of bone, and soft tissue herniation 1516. Farman et al,9 Simsek et al,13 Pai et al,14 and Flores et al16 reported inferior displacement of the IANC due to aneurysmal bone cysts. Sharma reported a case of inferior displacement of the left and right IANCs approximating the inferior border of the mandible caused by an aneurysmal bone cyst 15.…”

Recurrent Temporomandibular Joint Dislocations in Geriatric Patient on Antipsychotic Drugs and Its Conservative Management

“…As in our case the age of the patient, his compromised systemic conditions were not suitable for surgical intervention neither could the medication be stopped owing to his medical condition, hence a more conservative, non-invasive treatment modality of chin cup appliance was planned. Due to age considerations, various conservative management approaches have been employed in the management of orofacial lesions especially in children as well as geriatric patients [16].…”

Cisto ósseo aneurismático secundário a lesão central de células gigantes: relato de caso

“…Embora sua etiologia não seja totalmente esclarecida, o trauma local parece ser o fator etiológico relacionado com o surgimento da lesão, por levar há um extravasamento de sangue, que tende a aumentar8 . A partir desse argumento acredita-se que o cisto ósseo aneurismático esta intimamente relacionado a lesão central de células gigantes, podendo ocorrer como um fenômeno secundário em uma lesão preexistente, a partir de uma malformação vascular9 .O diagnóstico não pode ser estabelecido apenas por exames de imagem, por apresentar imagem radiolucida uni ou multilocular, expansão de cortical pode ser considerado diagnóstico diferencial de outras lesões10 . O Tratamento de eleição constitui em curetagem ou enucleação da lesão e sua recorrência pós cirúrgica tem sido atribuída por sua remoção incompleta, porém quando o tratamento é realizado de forma criteriosa apresenta prognóstico favorável a longo prazo10 .Brazilian Journal of health Review Braz.…”