case_images: PMC3341770_01
case_images: Intraoral swelling - facial view
case_images: CCD-3-93-g001.jpg
case_images: PMC3341770_01_CCD-3-93-g001.jpg
case_images: F1
case_images: A 65-year-old man was referred to Narayana Dental College & Hospital, Nellore, had an intraoral swelling on partially edentulous mandibular alveolar ridge extending from mesial aspect of right mandibular canine region to distal aspect of left mandibular second premolar region, measuring 6 x 5 x 5 cm [Figures 1 and 2].
case_images: Intraoral swelling - occlusal view
case_images: CCD-3-93-g002.jpg
case_images: PMC3341770_01_CCD-3-93-g002.jpg
case_images: F2
case_images: A 65-year-old man was referred to Narayana Dental College & Hospital, Nellore, had an intraoral swelling on partially edentulous mandibular alveolar ridge extending from mesial aspect of right mandibular canine region to distal aspect of left mandibular second premolar region, measuring 6 x 5 x 5 cm [Figures 1 and 2].
case_images: OPG showing no evidence of bone involvement
case_images: CCD-3-93-g003.jpg
case_images: PMC3341770_01_CCD-3-93-g003.jpg
case_images: F3
case_images: Orthopantomograph [Figure 3] and occlusal view [Figure 4] revealed that there is no bony involvement of the lesion and family history of the patient was non-contributory.
case_images: Occlusal radiograph showing no evidence of bone involvement
case_images: CCD-3-93-g004.jpg
case_images: PMC3341770_01_CCD-3-93-g004.jpg
case_images: F4
case_images: Orthopantomograph [Figure 3] and occlusal view [Figure 4] revealed that there is no bony involvement of the lesion and family history of the patient was non-contributory.
case_images: Histopathological view of lesion (hematoxylin and eosin X40)
case_images: CCD-3-93-g005.jpg
case_images: PMC3341770_01_CCD-3-93-g005.jpg
case_images: F5
case_images: But the presence of excess number of disseminated giant cells in connective tissue stroma along with hemorrhage, hemosiderin pigment, and inflammatory cells [Figures 5 and 6] in histological examination excludes other inflammatory hyperplastic lesions and confirms PGCG.
case_images: Histopathological view of lesion (hematoxylin and eosin X200)
case_images: CCD-3-93-g006.jpg
case_images: PMC3341770_01_CCD-3-93-g006.jpg
case_images: F6
case_images: But the presence of excess number of disseminated giant cells in connective tissue stroma along with hemorrhage, hemosiderin pigment, and inflammatory cells [Figures 5 and 6] in histological examination excludes other inflammatory hyperplastic lesions and confirms PGCG.
case_images: Excised specimen
case_images: CCD-3-93-g007.jpg
case_images: PMC3341770_01_CCD-3-93-g007.jpg
case_images: F7
case_images: After arriving to diagnosis as PGCG, the lesion was excised [Figure 7] and four interrupted sutures were placed [Figure 8] to close the defect.
case_images: Intraoral view after excision with sutures
case_images: CCD-3-93-g008.jpg
case_images: PMC3341770_01_CCD-3-93-g008.jpg
case_images: F8
case_images: After arriving to diagnosis as PGCG, the lesion was excised [Figure 7] and four interrupted sutures were placed [Figure 8] to close the defect.