PDF(Pubmed)
Abstract：
This article presents a clinical case of a central giant cell granuloma (CGCG) resembling a periapical lesion of endodontic origin. A 39-year-old, otherwise healthy male patient was referred to the department of oral and maxillofacial surgery for its diagnosis and subsequent management. The patient presented with an asymptomatic, progressively increasing intraoral swelling associated with the mandibular left para-symphysis region. On radiographic evaluation, a unilocular radiolucent lesion involving 33-34 teeth was noted. An incisional biopsy presented a giant cell lesion, following which surgical curettage was done. Histopathological examination was in accordance with the diagnosis of CGCG. Therefore, it is imperative for clinicians to accurately diagnose and rule out similarly presenting lesions.
摘要：
本文介绍了一例类似于根管起源的根尖周病变的中央巨细胞肉芽肿（CGCG）的临床病例。39岁,其他健康的男性患者被转诊到口腔颌面外科进行诊断和后续治疗。患者表现为无症状，与下颌左联合旁区域相关的口腔内肿胀逐渐增加。关于射线照相评估，注意到涉及33-34颗牙齿的单眼放射状病变。切开活检显示巨细胞病变，随后进行手术刮宫。组织病理学检查符合CGCG的诊断。因此,临床医生必须准确诊断并排除类似的病变。
