Multicentric giant cell reparative granuloma with extragnathic involvement: Panoramic and computed tomography

Abstract

Giant cell reparative granuloma is also known as central giant cell granuloma with predilection for the mandible. It is a benign bone tumor, which creates a diagnostic dilemma for radiologist due to their rare occurrence and sometimes aggressive nature. We report a case of young male presenting with a fast growing, large right sided mandibular lump that was bony hard on palpation. There was nasal obstruction along with neck pain. The case was sent for panoramic radiography that revealed multiple radiolucent lesions involving the mandible and the maxillary bone. Further evaluation was done using cross-sectional imaging modality, that is, computed tomography that lead to an elaborate involvement of the mandible and maxilla with incidental lytic involvement of the hyoid bone as well as the C2 vertebral body. Tissue diagnosis was done where diagnosis of giant cell reparative granulomas was confirmed.

Keywords

• Giant cell
• hyoid bone
• mandible
• reparative