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Expansive Oral Giant Cell Granuloma in a Pediatric Patient
Pau Cahuana-Bartra1, Lluís Brunet-Llobet1, Mariona Suñol-Capella2
1Department of Paediatric Dentistry, Sant Joan de Déu Hospital, University of Barcelona, Barcelona, Spain; Department of Odontostomatology, Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain; Hospital Dentistry, Clinical Orthodontics and Periodontal Medicine Research Group (HDCORPEMrg), Institut de Recerca Sant Joan de Déu (IRSJD), Barcelona, Spain.
Peripheral oral giant cell granuloma (POGCG) is rare in children. This case highlights surgical management and histological features of POGCG in an 8-year-old girl, emphasizing early detection to prevent dental issues.
Area of Science:
- Oral pathology
- Pediatric dentistry
- Surgical oncology
Background:
- Peripheral oral giant cell granuloma (POGCG) is a reactive hyperplastic lesion.
- Characterized by mononuclear cells and osteoclast-type giant cells.
- Rarely documented in pediatric populations, typically affecting adult females.
Observation:
- An 8-year-old girl presented with a rapidly growing exophytic lesion on her anterior maxilla.
- The lesion exhibited significant volume increase over several weeks.
- Surgical management involved an excisional biopsy using an electrosurgical pencil.
Findings:
- Histopathological examination confirmed the diagnosis of POGCG.
- The lesion demonstrated typical POGCG cellular characteristics.
- Surgical excision was the primary treatment modality.
Implications:
- Early detection of POGCG is crucial for pediatric patients.
- Prompt management can minimize periodontal destruction and pathological tooth migration.
- Surgical excision combined with scaling and curettage is recommended for POGCG treatment.
