Granuloma central de células gigantes en un paciente infantil

Abstract

Introduction: giant cell tumors constitute a set of pathological processes with a certain degree of controversy in diagnosis, different in clinical behavior but with histological characteristics in common. The central granuloma of giant cells (GCCG) is an intraosseous lesion of cellular fibrous tissue with multiple hemorrhagic foci and nucleated giant cell aggregations. The objective of this paper is expose the clinical features observed, approach and following of one girl with giant cell central granuloma. Case report: this is a 6-year old female patient who was referred to the Maxillofacial Surgery Service of the General Hospital of Zacatecas, with no relevant medical history. The intraoral examination showed a remarkable increase in the volume of sessile appearance and reddish, painful palpation, located between the inner side of the upper labial mucosa and frenulum, and extended to the right canine, causing asymmetry in the anterior portion of the hard palate. After carrying out imaging studies (radiographic and Cone Beam), the surgical removal of the lesion was performed under general anesthesia, and the giant cell granuloma was confirmed histologically. Conclusion: in oral lesions the choice of treatment is influenced by the clinical behavior of the lesion. The age of the patient, the site and the extension are also contributing factors. Early detection in children allows conservative management, resulting in decreased undesirable loss of oral structures.