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