Management of recurrent peripheral giant cell granuloma -a case report

  • Authors

    • Santha Kumari Prathypaty Government Dental College & hospital
    • Santhi Priya Potharaju Govternment. Dental College
    • Ravi Kanth Chintala Army Dental Corps
    • Satheesh Kumar Guvvala Govternment. Dental College
    • Jai Krishna Srikanth Kolliboyana
  • Benign Tumor, Excision, Giant Cell Epulis, Osteoclastoma, Peripheral Giant Cell.
  • Peripheral giant cell granuloma (PGCG) which is also called as Giant cell Epulis is one of the most common reactive hyperplastic lesions of the oral cavity. There are various etiologies relating PGCG which include local irritation, trauma, tooth extraction, irregular restorations, plaque, calculus, chronic infection & impacted food. One important other etiology of this benign tumor is its origin from periosteum or periodontal membrane. Excision of the lesion completely along with extraction of involved tooth is the option of treatment to prevent recurrence of the lesion in some cases. This case report describes the recurrence of the Peripheral giant cell granuloma even after complete excision in 3 months.Management of recurrent Peripheral giant cell granuloma by surgical excision of the lesion was carried out along with extraction of the associated tooth and curettage of the bone walls. Profuse bleeding after tooth extraction was managed by gel-spun. Periodic recalls doesn’t show any recurrence until one month.

  • References

    1. [1] Neville BW, Damm DD, Allen CM, Bouquot JE. (2009) Soft Tissue Tumors. Oral and Maxillofacial Pathology (3rded), Saunders, St Louis, p. 507-563.

      [2] Pour MAH, Rad M, Mojtahedi A. (2003). A survey of soft tissue tumor-like lesions of oral cavity: A clinicopathological study. Iranian Journal of Pathology 3, 81-87.

      [3] Jaffe HL. (1953) Giant cell reparative granuloma, traumatic bone cyst and fibrous (fibro-osseous) dysplasia of jaw bones. Oral Surgery Oral Medicine Oral Pathology 6:159-75.

      [4] Rajendran R, Sivapathsundaram B. (2006) Benign and Malignant Tumors of the oral cavity.Shafer’s Text book of Oral Pathology (5thEd) Elsevier, New Delhi, p.113-308

      [5] Chapparo-Avendano A, Berini-AytesL,Gay-Escoda C. (2005)Peripheral giant cell. A report of five cases and review of the literature. Medicina Oral Patologia Oral Y CirugiaBucal10:53-57

      [6] Motamedi MH,Eshghyar N, Jafari SM, Lassemi E ,Navi F, Abbas FM, Khalifesh S, Eshkevari PS(2007)Peripheral central giant cell granulomas of the jaws: a demographic study. Oral Surgery Oral Medicine Oral Pathology Oral Radiology Endodontics103:e39-e43DOI:

      [7] Reichart PA Philipsen H. (2004) Atlas de Patolgia Oral. Masson, Barcelona, p.164

      [8] N Shadman, S FarzinEbrahimi, S Jafar. (2009). Peripheral Giant cell Granuloma. A Review of 123 cases Dental Research Journal, 6(1): 47-50.

      [9] Katsikeris N, Kakarantza-Angelopoulou E, Angelopoulos AP (1988) Peripheral giant cell granuloma.Clinicopathologic study of 224 new cases and review of 956 reported cases. International Journal of Oral and Maxillofacial Surgery, 7(2):94-9.

      [10] Giansanti JS, Waldron CA (1969) Peripheral giant cell granuloma. Review of 720 cases. Journal of Oral Surgery, 27:787-91.

      [11] Regezi JA, Sciubba JJ, Jordan RC. (2009) Red Blue lesions. Oral Pathology. Clinical Pathologic Correlations (5th ed), Saunders; St Louis p.107-25.

      [12] Liu B, Yu SF, Li TJ (2003) Multinucleated giant cells in various forms of giant cell containing lesions of the jaws express features of osteoclasts. Journal of oral pathology and medicine, 32: 367-75.

      [13] Bhaskar SN, Cutright DE, Beasley JD, Perez B. (1971) Giant cell reparative granuloma (peripheral): Report of 50 cases. Journal of Oral Surgery, 29: 110-15.

  • Downloads

  • How to Cite

    Prathypaty, S. K., Potharaju, S. P., Chintala, R. K., Guvvala, S. K., & Kolliboyana, J. K. S. (2016). Management of recurrent peripheral giant cell granuloma -a case report. International Journal of Health, 4(2), 138-140.