Central giant cell granuloma of left posterior maxilla-a case report

CGCG is a benign proliferation of fibroblasts & multinucleated giant cells that occurs almost exclusively within the jaws. The clinical behavior of central giant cell granuloma (CGCG) of the jaws is variable,they are clinically classified as aggressive and non-aggressive.The most common site being the mandibular anteriors crossing the midline. Aggressive types of tumours are usually expansive and rapidly grow, causing pain, bleeding, and displaced and loose teeth. The management of CGCG can include conventional surgery with or without medical adjunctive treatment or resection in-bloc for the aggressive variant. Although the most common therapy is surgical curettage, the high recurrence rate, especially in aggressive lesions, has raised concern. This is a case of CGCG occurring in the upper left maxilla with a peripheral soft tissue growth and central radiographic changes leading to various differential diagnoses. The treatment plan included surgical excision and curettage which was followed up for 5 months without recurrence.