Santral Dev Hücreli Granülom ve Tükürük Bezi Taşının Konik Işınlı Bilgisayarlı Tomografi ve Ultrasonografi ile Değerlendirilmesi

Year 2022, Volume: 6 Issue: 2, 104 - 108, 31.12.2022

Melisa Bozkurt Fatma Aksakallı Nuran Bayramov Baturay Ornağ Mehmet Oğuz Borahan Ferit Bayram Şebnem Erçalık Yalçınkaya

https://doi.org/10.29228/erd.33

Abstract

Santral dev hücreli granuloma (SDHG) etyolojisi belirgin olmayan benign bir intraosseöz tümör olup hızlı büyümeye, ekspansiyona ve/veya kortikal kemikte perforasyona neden olabilir. Ayırıcı tanıları histolojik ve sistemik bulgulara da bağlı olup, radyolojik bulgular ile beraber değerlendirilmelidir.

Bu olgu sunumunda 72 yaşındaki kadın hastanın maksilla anterior bölgesinde bulunan, fibromatöz ve eritematöz bir şişliğe neden olan ağrısız bir SDHG olgusu sunulacaktır. Ayrıca, tesadüfi bulgu olarak sialolith ile karşılaşılmıştır. SDHG ve sialolith OPTG, periapikal radyografi, Konik Işınlı Bilgisayarlı Tomografi ve ultrasonografi ile değerlendirilmiştir.

Keywords

santral dev hücreli granülom, tükürük bezi taşı, konik ışınlı bilgisayarlı tomografi, ultrasonografi

Evaluation of a Central Giant Cell Granuloma and a Sialolithiasis Cone Beam Computed Tomography and Ultrasonography

Abstract

Central giant cell granuloma (CGCG) is a benign intraosseous tumor that can cause rapid enlargement, expansion and/or perforation of cortical bone and has no significant etiology. Its differential diagnosis depends on both histological and systemic examination combined with the radiologic findings.

In this case report, a CGCG case located in the anterior maxilla revealing a fibromatous and erythematous painless swelling of a 72 - year old female patient with a sialolithiasis as an incidental finding was aimed to be presented by OPTG, periapical, Cone Beam CT (CBCT) and ultrasonographic (USG) findings.

Keywords

central giant cell granuloma, sialolithiasis, cone beam computed tomography, ultrasonography

References

• Balaji P, Balaji SM. Central giant cell granuloma : A case report. Indian J Dent Res 2019;30:130-2.
• Jaffe HL. Giant-cell reparative granuloma, traumatic bone cyst, and fibrous (fibro-osseous) dysplasia of the jawbones. Oral Surgery, Oral Medicine, Oral Pathology, 1953; 6(1), 159–175.
• Soluk-tekkesin M, Wright JM. The world health organization classification of odontogenic lesions: a summary of the changes of the 2017 (4th) edition. Turkish Journal of Pathology.
• Zhang Q, He Z, Wang G, Jiang H. Radiotherapy for recurrent central Giant cell granuloma: a case report. Radiat Oncol. 2019 Jul 19;14(1):130. doi: 10.1186/s13014-019-1336-7.
• Lee JC, Huang HY. Soft Tissue Special Issue: Giant Cell-Rich Lesions of the Head and Neck Region. Head Neck Pathol. 2020 Mar;14(1):97-108. doi: 10.1007/s12105-019-01086-2.
• Nilesh K, Dadhich A, Patil R. Management of recurrent central giant cell granuloma of mandible using intralesional corticosteroid with long-term follow-up. BMJ Case Rep. 2020 Sep 14;13(9):e237200.
• White SC, Pharoah S. Oral Radiology: Principles and Interpretation 7th ed. United States. ISBN: 9780323096331.
• Kramer IJ, Pindborg JJ, Shear M. Histological typing of odontogenic tumors, 2nd ed. Springer-Verlag. Berlin, Germany, 1991, p. 31.
• Bocchialini G, Salvagni L, Guerini A, Castellani A. Central giant cell granuloma of the mandibular condyle: A rare case and a literature review. Heliyon. 2019 Dec 28;6(1):e03085.
• Chrcanovic, B. R., Gomes, C. C., & Gomez, R. S. (2018). Central giant cell lesion of the jaws: An updated analysis of 2270 cases reported in the literature. Journal of Oral Pathology & Medicine.
• Candeiro GTM, de Souza CVT, Chaves RSA, Ley AM, Feijão CP, Costa FWG, Barros Silva PG. Central giant cell granuloma mimicking a periapical lesion of endodontic origin: A case report. Aust Endod J. 2020 Dec;46(3):381-386. doi: 10.1111/aej.12430. Epub 2020 Aug 21.
• Neville B, Damm D, Allen C, Bouquot J. Bone pathology, in: Oral and Maxillofacial Pathology, second ed. W.B. Saunders Company; Philadelphia, PA. 2002, pp: 544-547.
• Ficarra G, Kaban LB, Hansen LS. Central giant cell lesions of the mandible and maxilla: a clinicopathologic and cytometric study. Oral Surg Oral Med Oral Pathol. 1987 Jul;64(1):44-9.
• Chuong R, Kaban LB, Kozakewich H, Perez-Atayde A. Central giant cell lesions of the jaws: a clinicopathologic study. J Oral Maxillofac Surg. 1986 Sep;44(9):708-13.
• Caglayan F, Bayrakdar IS. The Intraoral Ultrasonography in Dentistry. Niger J Clin Pract. 2018 Feb;21(2):125-133.
• Arslan ZB, Demir H, Berker Yıldız D, Yaşar F. Diagnostic accuracy of panoramic radiography and ultrasonography in detecting periapical lesions using periapical radiography as a gold standard. Dentomaxillofac Radiol. 2020 Sep 1;49(6):20190290.