NUMERO: #20240145

Título: CENTRAL GIANT CELL GRANULOMA IN A CHILD: A PITFALL SOLVED WITH A CHANGE IN THE TREATMENT

Nome do Apresentador: Riéli Elis SCHULZ

Categoria do Trabalho: Painel de caso clínico (PCC)

Área Temática: Estomatologia

Resumo: An 11-year-old male presented with a tumoral lesion in the right maxilla, involving teeth 14,15 and 16 displaying a purplish color and lobulated surface. CT scan revealed a hypodense, unilocular image with broad expansion and thinning of the vestibular bone cortex. An incisional biopsy confirmed a diagnosis of a central giant cell granuloma. Conservative treatment involved weekly injections of 2.5 ml of Dexamethasone 4mg/ml (available at a public hospital) and topical intranasal Salmon Calcitonin twice daily, with a slow therapeutic response. Due to medication limitations during the COVID-19 pandemic, Triamcinolone injections replaced Dexamethasone, leading to clinical improvement after the first injection. Following 8 cycles of 6 fortnightly applications, a significant clinical response with reduced vestibular swelling was observed, reflecting a positive therapeutic outcome. After 4 years of treatment and monitoring, the latest CT scan showed a reduced lesion size, regular limits, and cortical periphery bone formation.

Autor 1:  Riéli Elis SCHULZ

E-mail 1:  [email protected]

Autor 2:   Karin Berria TOMAZELLI

E-mail 2:  [email protected]

Autor 3 :  Gustavo Davi RABELO

E-mail 3:  [email protected]

Autor 4:  Maria Inês MEURER

E-mail 4:  [email protected]

Autor 5:  Mariah Luz LISBOA

E-mail 5:  [email protected]

Autor 6:  Liliane Janete GRANDO

E-mail 6:  [email protected]

Autor 7:  Alessandra Rodrigues de CAMARGO

E-mail 7:  [email protected]