Diagnosis and clinical management of Peripheral giant cell granuloma. A case report.
Clinical management of Peripheral giant cell granuloma
DOI:
https://doi.org/10.5377/ul.v16i2.20465Keywords:
Granulomatous reacction, Dentistry, Peripheral giant cell granulomaAbstract
Peripheral giant cell granuloma (PGCG) is a reactive soft tissue lesion exclusive to the oral cavity, associated with chronic irritants; epidemiologically, it shows a greater predilection in females between the fourth and fifth decades of life. This clinical case describes an exophytic lesion located in the attached gum of the upper left premolars, with an approximate size of 2 cm x 1.6 cm, color similar to the mucosa and slightly congestive with ulcerations in the lower area. Giant cell granulomas are of special interest in dentistry since they constitute approximately 7% of benign tumor lesions of the jaws. The objective of this article is to present the diagnosis and case management of this pathology, considering clinical, radiographic and histological evidence, as essential elements of the differential diagnosis of lesions in the oral cavity. The methodology used was the SCARE guide for the presentation of clinical cases. The results were compatible with the lesion described, presenting a large number of multinucleated giant cells, the complete resection of the lesion included the extraction of three teeth due to bone loss, a control appointment in the first week and after 3 months without evidence of recurrence. . Conclusion: this clinical case summarizes the importance of the diagnostic process in exophytic lesions in the oral cavity, supported by complementary examinations such as laboratory tests, radiographic studies, the clinical characterization and histological examination is essential to establish the diagnosis
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