Central giant cell granuloma of the jaw is less common than peripheral giant cell granuloma, and it can cause destruction of the bone. We report the atypical case of a 5-year-old boy with a central giant cell granuloma involving both rami of the mandible.
The patient consulted our clinic because of a swelling in the right ramus of the mandible. Bilateral bulging of the mandible was observed at initial examination. Computed tomography showed a well-defined, multilocular lesion with bilateral bone destruction from the molar to ramus of the mandible.
The diagnosis on an incisional biopsy was central giant cell granuloma. Enucleation of the lesion was performed under general anesthesia. There has been no evidence of recurrence as of 2 years 5 months after the operation.
