Extensive Aggressive Central Giant Cell Granuloma of the Mandible: Conservative Steroids Treatment in a Pediatric Patient

Central giant cell granuloma (CGCG) is a relatively rare intraosseous lesion, described bytheWorldHealthOrganizationasalocalizedproliferationconsistingoffibroustissue with hemorrhage deposits, the presence of osteoclast-like cells, and reactive bone formation. In this article, the authors present their experience in managing a wide, aggressiveCGCGofthewholetooth-bearingmandibleina9-year-oldpediatricpatient. The extension of the lesion and the age of the patient have presented a double challenge concerning treatment and outcome. If fact the main objective remains a correct therapeutic treatment, focused on healing the patient and avoiding recurrences,theclinicianmustbecarefulinpreventinganexcessivemorbidity.Theauthors decided to treat the young patient with intralesional corticosteroid therapy, reserving surgery in case of non-response or for subsequent refinements. In this article is presented the authors’ conservative treatment protocol with intralesional corticosteroid injection and their results are compared with literature’s data.