Sharma Moitrayee, Sarma Mridul Kumar, Choudhury Devajit, Rao Sindhu S, Santosh B S, Debnath Asim, Deka Muktanjalee
Department of Head and Neck Oncology, State Cancer Institute, GMCH, Assam, India.
Department of Surgical Oncology, State Cancer Institute, GMCH, Assam, India.
J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S2968-S2971. doi: 10.4103/jpbs.jpbs_88_24. Epub 2024 Jun 8.
"Giant cell epulis" nowadays known as "peripheral giant cell granuloma" (PGCG) is a soft tissue benign overgrowth seen in the oral cavity. It is a type of reactive exophytic lesion of gingiva whose etiology is still not specific. Peripheral giant cell lesion may not be a life-threatening condition but when the size of the lesion exceeds a certain limit it hampers day-to-day activity of the oral cavity. It may also have a psychological effect on the person. We report a case of a 9-year-old boy with a large peripheral giant cell lesion, which interfered with his chewing habits. The purpose of reporting this case is to create awareness about peripheral giant cell lesions and its treatment modality. Under general anesthesia, the soft tissue growth was excised using an electrocautery that was approximately 5.3 cm in length and 2 cm in width. The patient was reviewed on the 7th day (postoperative), followed by 10, 20, and 30 days. After this, the patient was reviewed monthly for 6 months. Healing was successful without any events. Proper history taking is mandatory before coming to a final diagnosis. Various diagnostic aids help in coming to a confirmatory diagnosis. Complete surgical excision and elimination of any irritant factor along with clearing of the base of the lesion is mandatory to avoid recurrence rate and have a complete uneventful healing.
“巨细胞龈瘤”如今被称为“外周性巨细胞肉芽肿”(PGCG),是一种出现在口腔中的软组织良性增生。它是牙龈的一种反应性外生性病变,其病因尚不明确。外周性巨细胞病变可能并非危及生命的病症,但当病变大小超过一定限度时,会妨碍口腔的日常活动。它对患者也可能产生心理影响。我们报告一例9岁男孩患有较大外周性巨细胞病变,该病变影响了他的咀嚼习惯。报告此病例的目的是提高对外周性巨细胞病变及其治疗方式的认识。在全身麻醉下,使用电灼术切除了长约5.3厘米、宽2厘米的软组织增生。术后第7天对患者进行复查,随后在第10天、20天和30天进行复查。此后,对患者进行了6个月的每月复查。愈合成功,未出现任何问题。在做出最终诊断之前,必须进行详细的病史采集。各种诊断辅助手段有助于做出确诊。必须进行完整的手术切除并消除任何刺激因素,同时清理病变底部,以避免复发并实现完全顺利的愈合。