PMC3341770_01
Intraoral swelling - facial view
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F1
A 65-year-old man was referred to Narayana Dental College & Hospital, Nellore, had an intraoral swelling on partially edentulous mandibular alveolar ridge extending from mesial aspect of right mandibular canine region to distal aspect of left mandibular second premolar region, measuring 6 x 5 x 5 cm [Figures 1 and 2].
Intraoral swelling - occlusal view
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F2
A 65-year-old man was referred to Narayana Dental College & Hospital, Nellore, had an intraoral swelling on partially edentulous mandibular alveolar ridge extending from mesial aspect of right mandibular canine region to distal aspect of left mandibular second premolar region, measuring 6 x 5 x 5 cm [Figures 1 and 2].
OPG showing no evidence of bone involvement
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F3
Orthopantomograph [Figure 3] and occlusal view [Figure 4] revealed that there is no bony involvement of the lesion and family history of the patient was non-contributory.
Occlusal radiograph showing no evidence of bone involvement
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F4
Orthopantomograph [Figure 3] and occlusal view [Figure 4] revealed that there is no bony involvement of the lesion and family history of the patient was non-contributory.
Histopathological view of lesion (hematoxylin and eosin X40)
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F5
But the presence of excess number of disseminated giant cells in connective tissue stroma along with hemorrhage, hemosiderin pigment, and inflammatory cells [Figures 5 and 6] in histological examination excludes other inflammatory hyperplastic lesions and confirms PGCG.
Histopathological view of lesion (hematoxylin and eosin X200)
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F6
But the presence of excess number of disseminated giant cells in connective tissue stroma along with hemorrhage, hemosiderin pigment, and inflammatory cells [Figures 5 and 6] in histological examination excludes other inflammatory hyperplastic lesions and confirms PGCG.
Excised specimen
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F7
After arriving to diagnosis as PGCG, the lesion was excised [Figure 7] and four interrupted sutures were placed [Figure 8] to close the defect.
Intraoral view after excision with sutures
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F8
After arriving to diagnosis as PGCG, the lesion was excised [Figure 7] and four interrupted sutures were placed [Figure 8] to close the defect.