Artigo Acesso aberto Produção Nacional Revisado por pares

Central Giant Cell Granuloma Treated with Intralesional Corticosteroid Injections and Bisphosphonates: A Long-Term Follow-Up Case Study

2019; Springer Science+Business Media; Volume: 14; Issue: 2 Linguagem: Inglês

10.1007/s12105-019-01053-x

ISSN

1936-0568

Autores

Raíssa Pinheiro de Mendonça, Geovanni Pereira Mitre, Flávio Henrique Real, Maria Sueli da Silva Kataoka, Sérgio de Melo Alves Júnior, Paulo Vianna, Newton Guerreiro da Silva Júnior, João de Jesus Viana Pinheiro,

Tópico(s)

Bone health and treatments

Resumo

Central giant cell granuloma (CGCG) is a benign intraosseous lesion of the head and neck with potential for aggressive and locally destructive behaviour. Lesions of the maxilla tend to expand more than those of the mandible due to the thinner cortices and spongy tissue of this location. Surgical removal is the most common treatment; however, it may be disfiguring in aggressive cases, especially for lesions located in the maxilla. Alternative treatments, such as intralesional corticosteroid injections, have been performed with satisfactory results. We report a case of a 12-year-old female patient with a CGCG of the left maxilla that was treated with 40 doses of intralesional triamcinolone acetonide infiltrations combined with alendronate sodium and calcium carbonate. Clinical and imaging follow-up over 12 years demonstrates improvement in the patient's condition.

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