Year: 2025 | Month: December | Volume: 12 | Issue: 12 | Pages: 837-843
DOI: https://doi.org/10.52403/ijrr.20251284
Central Giant Cell Granuloma in an 8-Year-Old Male Child: A Case Report
Dr. Emily Cheruiyot1, Dr. Cyrus Micha1, Dr. Dennis Cheruiyot1
1Department of Oral and Maxillofacial Surgery, Oral Medicine/Oral Pathology and Radiology, Moi University, School of Dentistry, Kenya.
Corresponding Author: Dr. Emily Cheruiyot
ABSTRACT
Central Giant Cell Granuloma (CGCG) is a non-neoplastic, locally aggressive lesion of the jaws, primarily affecting children and young adults. This report details the diagnosis and surgical management of an aggressive, bilateral CGCG in an 8-year-old male child, a presentation that is clinically rare, particularly in the paediatric population. The patient presented with progressive, asymptomatic, firm bilateral mandibular swellings of two years' duration, leading to the premature exfoliation of multiple lower teeth. Computed Tomography (CT) scans revealed extensive, multilocular radiolucencies in both the body and rami of the mandible, exhibiting cortical thinning, root resorption, and cortical perforations, indicative of aggressive biological behaviour. An incisional biopsy confirmed the diagnosis of CGCG. Due to the lesion's extensive size and bilateral involvement, surgical intervention was elected. Management involved bilateral submandibular approach, comprehensive resection, and curettage, followed by intralesional irrigation with triamcinolone acetonide to mitigate recurrence risk. This case underscores the diagnostic challenge and the necessity for aggressive, tailored surgical management in extensive, bilateral CGCG in paediatric patients, while emphasizing the importance of utilizing adjunctive therapies to minimize morbidity and prevent recurrence.
Keywords: Central Giant Cell Granuloma, Mandible, Bilateral, Paediatric, Curettage, Triamcinolone
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