CENTRAL GIANT CELL GRANULOMA: A CASE REPORT

Altun E. K. C., Yurttaş M.

The 30th Anniversary Congress of the Balkan Stomatological Society , Thessaloniki, Yunanistan, 7 - 09 Mayıs 2026, ss.461, (Özet Bildiri)

  • Yayın Türü: Bildiri / Özet Bildiri
  • Basıldığı Şehir: Thessaloniki
  • Basıldığı Ülke: Yunanistan
  • Sayfa Sayıları: ss.461
  • Kütahya Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Introduction: Central giant cell granuloma (CGCG) is an uncommon, locally invasive intraosseous lesion that occurs in the jaws, predominantly affecting adolescents and young adults. It most commonly presents as a painless swelling, although tenderness may be detected on palpation. Objective: This case report presents the clinical and radiological findings of a patient diagnosed with CGCG. Typically occurs in younger individuals and anterior to the mandibular first molar, this case represents an uncommon presentation in terms of both age and lesion location. Materials and Methods: A 55-year-old male patient presented with missing teeth. Intraoral examination revealed painless buccal and lingual expansion in the mandibular anterior region. Orthopantomography (OPG), cone-beam computed tomography (CBCT), and ultrasonography (USG) were performed for further evaluation. Results: On OPG, a radiolucent lesion with indistinct internal septations was observed in the mandibular anterior region, involving the root of tooth 43. CBCT images revealed a unilocular radiolucent lesion measuring 48 × 22 × 20 mm at its greatest dimensions, accompanied by buccal and lingual cortical expansion with focal areas of cortical destruction. USG examination demonstrated a hypoechoic lesion with posterior acoustic enhancement, measuring approximately 2.04 cm in the buccolingual dimension. Histopathological examination of the biopsy specimen confirmed the diagnosis of central giant cell granuloma (CGCG). Conclusions: This case highlights the atypical presentation of CGCG. USG, used in conjunction with CBCT, provided additional diagnostic value by demonstrating the lesion’s soft tissue content and echogenic characteristics, especially in areas of cortical perforation.