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Giant-cell tumour-like changes in the maxilla.

L Kryst, J Piekarczyk

    Journal of Maxillofacial Surgery
    |May 1, 1980
    PubMed
    Summary

    Giant-cell granulomas in the jaws were analyzed in 194 cases. Diagnostic criteria were proposed, and moderately radical surgery or electrosurgery is recommended for treatment to prevent recurrence.

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    Area of Science:

    • Oral and Maxillofacial Surgery
    • Pathology
    • Oncology

    Background:

    • Giant-cell tumour-like changes in the jaws are uncommon.
    • Distinguishing these from neoplastic giant-cell tumours is crucial for appropriate management.
    • Reparative granulomas require specific diagnostic and therapeutic approaches.

    Purpose of the Study:

    • To analyze a large cohort of giant-cell tumour-like changes in the jaws.
    • To establish clear diagnostic criteria based on histological, clinical, and radiological findings.
    • To evaluate treatment outcomes and recurrence patterns.

    Main Methods:

    • Retrospective analysis of 194 cases of jaw lesions with giant-cell changes over 25 years.
    • Histological examination for definitive diagnosis.
    • Clinical and radiological assessment to evaluate lesion characteristics and extent.
    • Review of treatment modalities and follow-up data for recurrence.

    Main Results:

    • 194 cases of giant-cell tumour-like changes in the jaws were analyzed.
    • Diagnostic criteria were proposed based on integrated assessment.
    • Neoplastic giant-cell tumours were found to be exceedingly rare in this location.
    • Moderately radical surgery or electrosurgery demonstrated effectiveness in treatment.
    • Non-radical operations were associated with a higher tendency for local recurrence.

    Conclusions:

    • Proposed diagnostic criteria aid in the accurate identification of giant-cell granulomas of the jaws.
    • Early and adequate surgical intervention is key to successful management.
    • Minimally invasive or incomplete resection increases the risk of recurrence, highlighting the importance of complete lesion removal.

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