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Central giant cell granuloma in the posterior region of mandible mimicking a fibro-osseous lesion and hemangioma: a case report.
- Source :
-
Journal of medical case reports [J Med Case Rep] 2024 May 21; Vol. 18 (1), pp. 255. Date of Electronic Publication: 2024 May 21. - Publication Year :
- 2024
-
Abstract
- Background: A central giant cell granuloma (CGCG) is a benign, proliferative, intraosseous, and non-odontogenic lesion occurring primarily in children and young adults. On the histological level, it is characterized by numerous multinucleated giant cells scattered randomly throughout a sea of spindle-shaped mesenchymal stromal cells which are dispersed throughout the fibrovascular connective tissue stroma containing areas of haemorrhage. When it comes to radiographic features, CGCG can have an array of variations, ranging from well-defined expansile lesions to ill-defined and destructive lesions, with or without expansion.<br />Case Presentation: This case report reviews an 11-year-old Caucasian patient with a chief complaint of slow-growing swelling involving the right posterior mandibular region. The cone beam computed tomography (CBCT) revealed an ill-defined mixed lesion mimicking both fibro-osseous lesion and hemangioma. However, microscopic examination revealed multinucleated giant cells in a fibrous stroma suggestive of central giant cell granuloma.<br />Conclusion: Our intent in reporting this case is to highlight the importance of thorough clinical, radiographical and histopathological examination for accurate diagnosis and therapeutic interventions as well as to emphasize the importance of taking different possibilities into consideration when examining bony swellings in the head and neck region.<br /> (© 2024. The Author(s).)
- Subjects :
- Child
Humans
Male
Diagnosis, Differential
Mandible diagnostic imaging
Mandible pathology
Mandibular Diseases diagnostic imaging
Mandibular Diseases pathology
Mandibular Diseases diagnosis
Mandibular Neoplasms diagnostic imaging
Mandibular Neoplasms pathology
Mandibular Neoplasms diagnosis
Cone-Beam Computed Tomography
Granuloma, Giant Cell diagnostic imaging
Granuloma, Giant Cell pathology
Granuloma, Giant Cell diagnosis
Hemangioma diagnostic imaging
Hemangioma diagnosis
Hemangioma pathology
Subjects
Details
- Language :
- English
- ISSN :
- 1752-1947
- Volume :
- 18
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Journal of medical case reports
- Publication Type :
- Academic Journal
- Accession number :
- 38769587
- Full Text :
- https://doi.org/10.1186/s13256-024-04571-7