Reparative giant cell granuloma in a pediatric patient
- B. Duarte Ruiz 1
- F. Riba García 1
- C. Navarro Cuéllar 2
- Tommaso Bucci 3
- Matías Cuesta Gil 1
- C. Navarro Vila 3
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1
Hospital General de Ciudad Real
info
- 2 Hospital de Guadalajara
- 3 Hospital General Universitario Gregorio Marañón. Madrid
ISSN: 1698-6946
Année de publication: 2007
Volumen: 12
Número: 4
Pages: 12
Type: Article
D'autres publications dans: Medicina oral, patología oral y cirugía bucal. Ed. inglesa
Résumé
Reparative giant cell granulomas are benign, infrequent tumors, of non-odontogenic origin, that develop at central or peripheral level. Peripherally located lesions are frequently denominated ‘giant cell epulis’, and never correspond to true neoplasia, but rather to inflammatory reactions secondary to another lesion (hemorrhage, etc.). It should be taken into account, that in general, head and neck tumors of infancy usually demonstrate an atypical biological behaviour. Furthermore, the anatomicopathologic diagnosis is often compromised in this type of lesion. We present the case of a 6-year-old boy, who, three weeks after suffering a slight facial trauma, developed a painless, exophytic swelling of approximately 4 cm, with bleeding on palpation, in the ipsilateral hemimaxilla. The lesion demonstrated rapid, progressive and continuous growth. The facial CT and incisional biopsy confirmed the suspected diagnosis of reparative giant cell granuloma. The patient was surgically treated, carrying out a left marginal maxillectomy associated with the extirpation of the soft-tissue lesion. The resultant defect was reconstructed with a Bichat fat-pad providing the patient with optimal esthetic and functional results. The definitive anatomicopathologic report of the surgical piece is compatible with reparative giant cell granuloma.