Kerdoud Ouassime, Aloua Rachid, Slimani Faiçal
Oral and Maxillofacial Surgery Department, CHU Ibn Rochd, B.P 2698, Casablanca, Morocco.
Oral and Maxillofacial Surgery Department, CHU Ibn Rochd, B.P 2698, Casablanca, Morocco.
Int J Surg Case Rep. 2021 Feb;79:97-100. doi: 10.1016/j.ijscr.2021.01.007. Epub 2021 Jan 6.
Central giant cell tumors (CGCTs) bones are uncommon benign bone tumors in the jaw.
The authors report a pediatric patient who was diagnosed with an aggressive central giant cell cyst of the mandible and its management. The CGCT usually occurs in adolescents patients from 5 to 10 years of age. An 8-year-old female patient presented with progressive non-pulsatile swelling of the mandible. Intraoral examination revealed mobility of teeth, associated with gingival swelling.
Common sites of giant cell tumors are the epiphysis of the long bones. Giant cell tumors accounted for 4-7% of all primary bone tumors. The mandible localization is exceptional, the main treatment for giant cell tumors is surgical excision and different surgical approaches had been reported in the literature thus depending on the size of the cyst, localization, and experience of the surgeon.
Giant cyst tumor of the jaw is rare and less common in childhood. The clinical behavior is very diverse. The main treatment is surgical removal and follow-up to reveal recurrence.
颌骨中央巨细胞瘤（CGCTs）是颌骨中不常见的良性骨肿瘤。
作者报告了一名被诊断为下颌骨侵袭性中央巨细胞囊肿的儿科患者及其治疗情况。CGCT通常发生在5至10岁的青少年患者中。一名8岁女性患者出现下颌骨进行性非搏动性肿胀。口腔检查发现牙齿松动，伴有牙龈肿胀。
巨细胞瘤的常见部位是长骨的骨骺。巨细胞瘤占所有原发性骨肿瘤的4-7%。下颌骨定位较为特殊，巨细胞瘤的主要治疗方法是手术切除，文献中报道了不同的手术方法，具体取决于囊肿的大小、定位和外科医生的经验。
颌骨巨细胞瘤罕见，在儿童期较少见。其临床行为非常多样。主要治疗方法是手术切除并进行随访以发现复发情况。
