Mandible / maxilla
Other inflammatory
Central giant cell granuloma




Topic Completed: 1 October 2013

Revised: 8 February 2019

Copyright: (c) 2004-2018, PathologyOutlines.com, Inc.

PubMed Search: Central giant cell granuloma [title]
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Cite this page: Pernick N. Other inflammatory: central giant cell granuloma. PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/mandiblemaxillacentralgiantcellgranuloma.html. Accessed June 16th, 2019.
Definition / general
  • Also called giant cell reparative granuloma
  • Central if intraosseous; peripheral if extraosseous
  • May be due to recurrent slow, minute hemorrhages
  • Often associated with trauma
  • Children and young adults, usually females
  • Lesion appears to be unique to jaw
  • Usually anterior mandible
Radiology description
  • Radiolucent, multilocular lesion, may have resorption / movement of teeth and penetration of jaw cortex
Treatment
  • Excision, thorough curettage
  • May recur
Gross description
  • Cystic bone lesion
Microscopic (histologic) description
  • Numerous osteoclast-like giant cells near hemorrhagic areas, cellular vascular and fibrous stroma, new bone formation at edge of lesion
  • Frequent mitotic figures
  • No necrosis
Positive stains
  • CD68 (giant cells)
Electron microscopy description
  • Fibroblasts, myofibroblasts, histiocytes
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