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Peripheral Giant Cell Granuloma in a Child Associated with Ectopic Eruption and Traumatic Habit with Control of Four Years

Identifieur interne : 002A30 ( Pmc/Curation ); précédent : 002A29; suivant : 002A31

Peripheral Giant Cell Granuloma in a Child Associated with Ectopic Eruption and Traumatic Habit with Control of Four Years

Auteurs : Luiz Evaristo Ricci Volpato [Brésil] ; Cristhiane Almeida Leite [Brésil] ; Brunna Haddad Anhesini [Brésil] ; Jéssica Marques Gomes Da Silva Aguilera [Brésil] ; Álvaro Henrique Borges [Brésil]

Source :

RBID : PMC:5143708

Abstract

Peripheral giant cell granuloma (PGCG) is a nonneoplastic lesion that may affect any region of the gingiva or alveolar mucosa of edentulous and toothed areas, preferentially in the mandible and rarely occurring in children. This report describes the clinical and histopathological findings of a PGCG diagnosed in the maxilla of a 9-year-old boy associated with a tooth erupting improperly and a traumatic habit. The patient did not present anything noteworthy on extraoral physical examination or medical history, but the habit of picking his teeth and “poking” the gingiva. The oral lesion consisted of an asymptomatic, rounded, pink colored, smooth surface, soft tissue injury with fibrous consistency and approximated size of 1.5 cm located in the attached gingiva between the upper left permanent lateral incisor and the primary canine of the same side. Excisional biopsy was performed through curettage and removal of the periosteum, periodontal ligament, and curettage of the involved teeth with vestibular access. The histopathological analysis led to the diagnosis of PGCG. The prompt diagnosis and treatment of the PGCG resulted in a more conservative surgery and a reduced risk for tooth and bone loss and recurrence of the lesion. After four years of control, patient had no relapse of the lesion and good gingival and osseous health.


Url:
DOI: 10.1155/2016/6725913
PubMed: 27999690
PubMed Central: 5143708

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PMC:5143708

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<journal-id journal-id-type="nlm-ta">Case Rep Dent</journal-id>
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<name>
<surname>Volpato</surname>
<given-names>Luiz Evaristo Ricci</given-names>
</name>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
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<xref ref-type="corresp" rid="cor1">
<sup>*</sup>
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<surname>Leite</surname>
<given-names>Cristhiane Almeida</given-names>
</name>
<xref ref-type="aff" rid="I2">
<sup>2</sup>
</xref>
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<name>
<surname>Anhesini</surname>
<given-names>Brunna Haddad</given-names>
</name>
<xref ref-type="aff" rid="I3">
<sup>3</sup>
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<name>
<surname>Aguilera</surname>
<given-names>Jéssica Marques Gomes da Silva</given-names>
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<xref ref-type="aff" rid="I4">
<sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0001-9510-6542</contrib-id>
<name>
<surname>Borges</surname>
<given-names>Álvaro Henrique</given-names>
</name>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
</contrib>
</contrib-group>
<aff id="I1">
<sup>1</sup>
Master's Program in Integrated Dental Sciences, University of Cuiabá, Cuiabá, MT, Brazil</aff>
<aff id="I2">
<sup>2</sup>
Department of Oral Pathology, University of Cuiabá, Cuiabá, MT, Brazil</aff>
<aff id="I3">
<sup>3</sup>
Master's Program in Restorative Dentistry, University of São Paulo, São Paulo, SP, Brazil</aff>
<aff id="I4">
<sup>4</sup>
University of Cuiabá, Cuiabá, MT, Brazil</aff>
<author-notes>
<corresp id="cor1">*Luiz Evaristo Ricci Volpato:
<email>odontologiavolpato@uol.com.br</email>
</corresp>
<fn fn-type="other">
<p>Academic Editor: Jose López-López</p>
</fn>
</author-notes>
<pub-date pub-type="ppub">
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>24</day>
<month>11</month>
<year>2016</year>
</pub-date>
<volume>2016</volume>
<elocation-id>6725913</elocation-id>
<history>
<date date-type="received">
<day>4</day>
<month>7</month>
<year>2016</year>
</date>
<date date-type="rev-recd">
<day>7</day>
<month>10</month>
<year>2016</year>
</date>
<date date-type="accepted">
<day>15</day>
<month>11</month>
<year>2016</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2016 Luiz Evaristo Ricci Volpato et al.</copyright-statement>
<copyright-year>2016</copyright-year>
<license xlink:href="https://creativecommons.org/licenses/by/4.0/">
<license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<p>Peripheral giant cell granuloma (PGCG) is a nonneoplastic lesion that may affect any region of the gingiva or alveolar mucosa of edentulous and toothed areas, preferentially in the mandible and rarely occurring in children. This report describes the clinical and histopathological findings of a PGCG diagnosed in the maxilla of a 9-year-old boy associated with a tooth erupting improperly and a traumatic habit. The patient did not present anything noteworthy on extraoral physical examination or medical history, but the habit of picking his teeth and “poking” the gingiva. The oral lesion consisted of an asymptomatic, rounded, pink colored, smooth surface, soft tissue injury with fibrous consistency and approximated size of 1.5 cm located in the attached gingiva between the upper left permanent lateral incisor and the primary canine of the same side. Excisional biopsy was performed through curettage and removal of the periosteum, periodontal ligament, and curettage of the involved teeth with vestibular access. The histopathological analysis led to the diagnosis of PGCG. The prompt diagnosis and treatment of the PGCG resulted in a more conservative surgery and a reduced risk for tooth and bone loss and recurrence of the lesion. After four years of control, patient had no relapse of the lesion and good gingival and osseous health. </p>
</abstract>
</article-meta>
</front>
<floats-group>
<fig id="fig1" orientation="portrait" position="float">
<label>Figure 1</label>
<caption>
<p>Nodular lesion between the upper left permanent lateral incisor and the primary canine.</p>
</caption>
<graphic xlink:href="CRID2016-6725913.001"></graphic>
</fig>
<fig id="fig2" orientation="portrait" position="float">
<label>Figure 2</label>
<caption>
<p>Radiographic aspect of the lesion without signs of abnormality.</p>
</caption>
<graphic xlink:href="CRID2016-6725913.002"></graphic>
</fig>
<fig id="fig3" orientation="portrait" position="float">
<label>Figure 3</label>
<caption>
<p>Clinical aspect after excisional biopsy of the lesion.</p>
</caption>
<graphic xlink:href="CRID2016-6725913.003"></graphic>
</fig>
<fig id="fig4" orientation="portrait" position="float">
<label>Figure 4</label>
<caption>
<p>(a) Low magnification of PGCG. The stratified squamous epithelium exhibits hyperkeratosis and acanthosis. The subjacent fibrous connective tissue showed noncapsulated nodular proliferation of cellular mesenchymal tissue with abundant multinucleated giant cells dispersed throughout (H&E; original magnification ×20). (b) Higher magnification of PGCG showing giant cells, spindle-shaped ovoid plump stromal cells, inflammatory cells, capillaries, hemorrhage, and hemosiderophages (H&E; original magnification ×400).</p>
</caption>
<graphic xlink:href="CRID2016-6725913.004"></graphic>
</fig>
<fig id="fig5" orientation="portrait" position="float">
<label>Figure 5</label>
<caption>
<p>Seven-day control.</p>
</caption>
<graphic xlink:href="CRID2016-6725913.005"></graphic>
</fig>
<fig id="fig6" orientation="portrait" position="float">
<label>Figure 6</label>
<caption>
<p>Clinical appearance after four years.</p>
</caption>
<graphic xlink:href="CRID2016-6725913.006"></graphic>
</fig>
<fig id="fig7" orientation="portrait" position="float">
<label>Figure 7</label>
<caption>
<p>Radiographic control after four years without signs of abnormality.</p>
</caption>
<graphic xlink:href="CRID2016-6725913.007"></graphic>
</fig>
</floats-group>
</pmc>
</record>

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