Manejo diagnóstico y quirúrgico del Granuloma Central de Células gigantes. A propósito de un caso clínico.

Abstract

The central giant cell granuloma is a benign, intraosseous and osteolytic lesion of non-odontogenic origin, with no reports published so far that can become a malignant pathology. We presented a case of a 69-years-old male patient who presented intraoral volume increase on the left side, evolution time was not quantified, non-painful, prevented the placement of his dental prosthesis. Image studies and stereolithographic models were performed and demonstrate the presence of a wide lithic zone located below the piriform aperture. Cystic mass enucleation, aggressive curettage of bony walls and cleaning of surgical field with chemical solution was done. The objective of this study is to provide the necessary guidelines for the diagnosis of central giant cell granuloma in order to carry out an adequate treatment without risk of recurrence.