Abstract
Objective: To report the diagnostic process of the Central Giant Cell Granuloma and the options of available pharmacological therapies as an alternative for the surgical treatment whilst a f irst choice procedure. Case Study: Female patient, aged 24 years old, who showed an asymptomatic increase in volume in the right mandibular body region. The initial conduct was carrying out the incisional biopsy and, after its histological analysis, there was the need to request laboratory examinations for parathyroid disorders in ord er to discard the possibility of Brown Tumor. The results showed themselves within the standard of normality and once the diagnosis of Giant Cell Granuloma was verified, the treatment with intralesional injections of triamcinolone. 9 months after starting the treatment, the patient has currently a significant remission of the lesion and the CT examination shows a satisfactory bone neoformation. Concluding Remarks: The Central Giant Cell Granuloma demands an extensive diagnostic process and it has surgical and/or pharmacological treatments, thus the professional in charge of the case is the one who should consider the best approach for each patient.
