MANAGEMENT OF AGGRESSIVE GIANT CELL LESION IN MAXILLA: A CASE REPORT

Abstract

A 21-years-old woman came to our attention for the evaluation of volume increase on the left side of face, enophthalmia and teeth pain on the same side. She already had histopathologic diagnosis of central giant cells lesion and laboratory tests for differential diagnosis with brown tumor. Intraoral examination revealed dental displacement and bulging of maxillary internal and external cortical bone with hardened consistency. Computed tomography showed an extensive lesion in maxilla invading the zygomatic bone, nasal cavity, and orbital floor. The treatment consisted of left hemimaxillectomy of hard and soft tissues. A removable partial prosthesis was installed at the immediate postoperative period. The histopathologic examination of the specimen showed tumor-free margins. The patient is being followed up for surgical wound care and regular prosthesis relining. The case will be observed for 1 year for later planning of facial reconstruction to give her back functional and aesthetical quality. A 21-years-old woman came to our attention for the evaluation of volume increase on the left side of face, enophthalmia and teeth pain on the same side. She already had histopathologic diagnosis of central giant cells lesion and laboratory tests for differential diagnosis with brown tumor. Intraoral examination revealed dental displacement and bulging of maxillary internal and external cortical bone with hardened consistency. Computed tomography showed an extensive lesion in maxilla invading the zygomatic bone, nasal cavity, and orbital floor. The treatment consisted of left hemimaxillectomy of hard and soft tissues. A removable partial prosthesis was installed at the immediate postoperative period. The histopathologic examination of the specimen showed tumor-free margins. The patient is being followed up for surgical wound care and regular prosthesis relining. The case will be observed for 1 year for later planning of facial reconstruction to give her back functional and aesthetical quality.