Cure of a Giant Cell Reparative Granuloma of the Maxilla

Giant cell granuloma or Central Giant Cell Granuloma (CGCG) is a benign maxillary lesion of unknown etiology. This tumor, infrequent, non-painful evolution, sometimes exhibiting aggressive behavior. Only histological study allows the diagnosis of certainty. The reported case is a 13 year old who consult a dentist for a vestibular-palatal swelling left looks of 26, who underwent tooth extraction with antibiotics without improvement .the axial CT scan of the face objectified a hétérodensetissular mass of 46*42mm seat at the rear and middle part of the two nasal cavities, with lysis of the nasal septum and the posterior portion of the vomer. Routine laboratory investigations including serum calcium, phosphorous and alkaline phosphatase were within normal limits. A biopsy of the lesion was in favor of a CGCG. The treatment consisted of combined surgical excision by para-latero-nasal route and endonasal approach. With a follow up of 3 years, we have noted no tumor recurrence. Though defined histologically as benign lesions, giant cell granuloma have the capacity for local destruction. Thus, a treatment modality that would arrest the growth is mandatory