PDF(Pubmed)
Abstract：
Peripheral giant cell granuloma (PGCG) is described as an elevated lesion that is located mostly on the gingival mucosa and alveolar crest, consecutive to irritative factors and trauma. It predominantly occurs more in the mandible than the maxilla, and it is usually seen in the 4th to the 6th decades. The clinical appearance of this lesion is red-bluish in color, presenting a similar tissue to the one observed in the liver, usually measuring less than 2 cm. The treatment of the PGCG is the surgical excision. The recurrence of this lesion is rarely described in the literature. The present case highlights the importance of considering the traumatic extractions as one of the main uncommon etiologic factors, leading to the development of peripheral giant cell granuloma. It precisely describes the diagnosis, the treatment of a peripheral giant cell granuloma located in maxillary canine-premolar region, occurred consecutively after ancient traumatic extractions of the 13 and 14 since 1 year. This paper also reports a maxillary location of giant cell granuloma, while the literature reports more commonly the mandibular location. This lesion was excised surgically, and healed uneventually, and in which the follow-up didn´t show any sign of recurrence.
摘要：
外周巨细胞肉芽肿（PGCG）被描述为一种升高的病变，主要位于牙龈粘膜和牙槽骨上。连续刺激因素和创伤。它主要发生在下颌骨而不是上颌骨，通常在第4至第6个十年中看到。该病变的临床表现为红色-蓝色，呈现出与肝脏中观察到的相似的组织，通常测量小于2厘米。PGCG的治疗是手术切除。这种病变的复发在文献中很少描述。本病例强调了将创伤性摘除术视为主要不常见病因之一的重要性，导致周围巨细胞肉芽肿的发展。它准确地描述了诊断，位于上颌尖牙前磨牙区的周围巨细胞肉芽肿的治疗，自1年以来，在13和14的古代创伤摘除后连续发生。本文还报道了上颌骨位置的巨细胞肉芽肿，而文献报道更常见的是下颌位置。这个病灶是手术切除的,并最终治愈，随访中没有任何复发的迹象。
