Abstract

Leucoderma, female patient, 14 years old, sought medical care complaining of “ball in her mouth.” Extraoral physical examination showed a slight asymmetry in the left cheek and intraoral inspection detected swelling in the vestibule of background in the left jaw, painless and normal colored, wearing orthodontic braces. Palpation found a mollified tissue type “eggshell.” Radiography showed a destructive osteolytic lesion in the left maxilla with root divergence between teeth 22 and 23. During biopsy and trans-surgery, it was noticed the presence of fleshy lesion bleeding with minimum touch. Histopathologic results were conclusive for central injury of giant cell. Additional tests were requested that ruled out the diagnosis of brown tumor of hyperparathyroidism. Enucleation and curettage was performed in the jaw tumor in a hospital under general anesthesia. The patient remained under observation for 8 months; there was improvement of intra- and extraoral edema and panoramic radiograph showed bone formation in the area with no sign of relapse.

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