TREATMENT OF AGGRESSIVE CENTRAL GIANT CELL LESION IN A YOUNG PATIENT: A CASE REPORT.

Autor: CARDOSO, Nicoly Ghilardi, LESSA, Mariana de Souza, PROHNY, João Paulo Stanislovicz, ZANFERRARI, Fernando Luiz, WASTNER, Bruna da Fonseca, SASSI, Laurindo Moacir, SCHUSSEL, Juliana Lucena
Zdroj: Oral Surgery, Oral Medicine, Oral Pathology & Oral Radiology; Jun2024, Vol. 137 Issue 6, pe215-e215, 1p
Abstrakt: Central giant cell lesion (CGCL) is an uncommon, non-neoplastic bone condition that primarily affects the jawbones, exhibiting a wide range of behaviors and a high recurrence rate. We present the case of a 16-year-old male patient who complained of a chin swelling following a history of facial trauma. Clinical examination revealed both extraoral and intraoral swelling in the anterior region of the mandible. Imaging examinations showed a radiolucent, unilocular lesion with well-defined margins, measuring approximately 40 mm in diameter and causing cortical bone expansion. An incisional biopsy confirmed the diagnosis of CGCL. Laboratory tests, including calcium, phosphorus, and alkaline phosphatase levels, ruled out hyperparathyroidism. The initial treatment involved curettage of the lesion. Given the high recurrence rate associated with CGCL, the patient underwent regular clinical and radiographic follow-up. After 24 months, the lesion recurred, necessitating a second intervention. Close monitoring is crucial for the early detection of recurrence in such cases. [ABSTRACT FROM AUTHOR]
Databáze: Supplemental Index