Tratamento de lesão central de células gigantes Recidivante: relato de caso

The central giant cell lesion (LCCG) consists of a non-neoplastic proliferative process but may exhibit aggressive behavior, similar to a neoplasm. It is observed more frequently in young adults and children, with a predilection for females, and its prevalence is higher in the jaw, it is usually asymptomatic and their clinical behavior can be aggressive or not. Such lesions present obscure etiology and different clinical presentations. Case report: A female patient, 26 years old, presented to the surgical service and Maxillofacial the University Hospital João de Barros Barreto, an increase of volume in the left mandibular body. The extraoral examination there were no changes. On intraoral examination it was found left side of the swelling of the jaw, fixed and hard consistency with an increase of about one year. the tests were ordered, panoramic radiography of the jaws, where we observed a defect radiolucent unilocular well-defined, with jagged edges and without cortical bone disruption and incisional biopsy that confirmed the hypothesis diagnostic LCCG. According to the histopathological finding noted the presence of multinucleated giant cells with uniformly distributed eosinophilic staining and predominantly cell stroma. Discussion: This was surgery to remove the lesion under general anesthesia, with a safety margin of 1 mm, peripheral osteotomy and fixation with reinforcement 2.4 titanium plate. Conclusion: The treatment approach performed in this case Brazilian Journal of health Review Braz. J. Hea. Rev., Curitiba, v. 2, n. 6, p. 5382-5395 nov./dec. 2019. ISSN 2595-6825 5384 proved to be effective, given the good adaptation of the plate, and which patient follows up, no evidence of relapse.