MINIMAL INVASIVE TREATMENT OF GIANT CELL GRANULOMA: CASE REPORT

Abstract

The article provides information about a case of giant cell granuloma observed in a 73-year-old female patient. Giant cell granuloma is a fibrosclerotic lesion that is more common in the female mandible, especially in children and young adults. It can be unilocular or multilocular. Central giant cell granulomas can be classified as "non-aggressive" or "aggressive" based on clinical, radiologic, and histologic features. Treatment consists of surgical excision, which in most cases preserves the dentition. A 73-year-old woman came to our clinic with swelling mostly in retromolar area of the left mandible. The lesion was massive, soft and sessile. Extensive bone loss and mobility, without significant radiolucency was noticed. The patient with multiple missing teeth had been using partial dentures for years. The otolaryngology department in another research hospital recommended hemimandibulectomy. In our maxillofacial department was considered reasonable only excision of the lesion. After surgery, the excised material was sent to pathological examination and the diagnose was giant cell granuloma. There was no post-operative paresthesia and no recurrency noticed in follow- up appointments. Correct diagnosis is very important for patient treatment. On the other hand, conservative approach increases the quality of life and aesthetics after surgery.