Exophytic lesion of the maxillary gingiva

Surgical excision with curettage of the underlying bone is the accepted method of treatment for the peripheral giant cell granuloma. The lesions may tend to recur if careful, complete excision of the lesional base is not accomplished. In the past, adjacent teeth were extracted in the belief that the lesion possessed a potential for more aggressive growth, but this practice has been abandoned as the true nature of the lesion has become apparent. Although the occurrence is probably uncommon, an association between the peripheral giant cell granuloma and hyperparathyroidism has been reported by some authors, who recommend suitable laboratory tests (serum calcium, alklaine phosphatase, and phosphorus) to rule out this possibility in all patients with a peripheral giant cell granuloma.