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An aggressive lesion of anterior maxilla
Durga Rajaram Okade1, Leena James, Akshay Shetty
1Department of Oral Medicine and Radiology, Sri Rajiv Gandhi College of Dental Sciences and Hospital, Bengaluru, Karnataka, India. dr_durga@hotmail.com
Aim:
To understand the aggressiveness of lesions in immunocompromised patients. Central giant cell granuloma (CGCG) is a non-neoplastic intraosseous lesion, anterior to the molars and more commonly in the mandible. It is an uncommon lesion accounting for less than 7% of all benign jaw lesions found predominantly in children and young adults with a female predilection of about 2:1 ratio.
Case Description:
A 22-year-old male patient came to the department with a growth in the anterior part of the maxilla with pain, rapid pace of growth and which recurred after initial excision as told to us in the case history.
Conclusion:
A diagnosis of CGCG of aggressive nature should be kept in mind, in a young immunocompromised patient.
Clinical Significance:
A recurrent lesion, with rapid pace of growth, associated with pain, a positive immunodeficient status, lesion in the anterior maxilla in a male patient, we can think of an aggressive CGCG.