Giant cell lesions
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Giant cell lesions

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  • REP.INTRABON,HEM

Giant cell lesions Giant cell lesions Presentation Transcript

  • GIANT CELL LESIONS
    • GIANT CELL PREPHERAL GRANULOMA.
    • GIANT CELL GRANULOMA.
    • GIANT CELL TUMOUR.
    • BROWN TUMOUR OF HYPERPRATHYRODISM.
    • FIBROUS DYSPLASIA.
    • CHERUBISM.
    • ANEURYSMAL BONE CYST.
  • GIANT CELL PREPHERAL GRANULOMA
  • CLINICAL PICTURE
    • 2 nd -3 rd decades
    • Slight fem.
    • Gingiva –Alv.P.
    • Mand. > max
    • Ant. 1 st . Molar
    • Small well circumscribed easy to bleed
    • Teeth displacement.
  • RADIOGRAPHY
    • ONLY WHEN BONE RESORBED.
    • SAUCERIFORM DEPRESSION
    • OR
    • PREPHERAL CUFFING.
  • DIFF. DIAG.
    • PYOGENIC GRANULOMA.
    • CENTERAL GIANT CELL GRRNULOMA.
    • FIBROEPITHELIA POLYP.
    • PREPHERAL CEMENTIFYING FIBROMA
    • FIBROMA.
  • PYOGENIC GRANULOMA
  • FIBRO EPITHELIL POLYP.
  • PYOGENIC GRANULOMA
  • CENTERAL GINT CELL GRNULOMA
    • CLINICAL PICTURE
  • CLINICAL PICTURE
    • 10-20 YEARS.
    • SILGHT FEM.
    • MAND. > MAX
    • ANT. MAND.SLOW GROWING.BONY HARD & MAY PAINFUL
    • CORTICAL EXPANSION,LOOSENING &EXFOL. OF TEETH.
    • MAY PERFOR.CORTEX.
  • RADILOGY
    • MULTI. OR UNILOCULAR
    • RADIOLUCENCY
  •  
  •  
  • DIFF. DIAG.
    • HYPERPRATHYROIDISM.
    • GIANT CELL TUMOUR.
    • AMELOBLASTOMA.
    • ODNT. KERATOCYST.
    • AN.BONE CYST.
  • TTT
    • SURG. EXC.& THROUGH CURETTAGE
  • GIANT CELL TUMOUR
    • RARE IN THE JAWS.
    • AGGRESSIVE , METASTISISE.,INC. REC.
    • BETTER IN JAWS.
    • IDENT. HIST.
  •  
  •  
  • BROWN TUMOUR OF HYP.PARATH
    • Primary hyperprath. : +PTH –Adenoma , hyperpl. Ca .
      • 2 nd . Hyperparath. ; hyp. –renal fail.,
      • osteomalacia.m.myeloma.
  • Presentation
    • Fatigue ,weakness,anorexia, polyuria thirst
    • depression.
    • Bone pain path.f#& coma.
    • Clinic. Raod. Hist. --- GCG.
    • LOSS OF LAMINA DURA. ERROSIVE LESIONS IN THE PH. HAND & KNEE.
    • RENAL CALICUL.I
  • LAB. INVEST.
    • + SERUM CA.
    • + PTH LEVEL.
  • T T T
    • UNDERL. CAUSE.
    • CALCITONINE.
  • Fibrous dysplasia
    • B –f-os m.
    • Mom.f.d.
    • Poly.f.d.
    • Albright Syn.& Jaffe synd.
  • Rad.
  • Ground glass.
  • Diff. diag.
    • Paget disease of bone.
    • Oss-cement. Fibroma.
    • Garre s osteom.
  • Garres osteom.
  • Garres osteom.
  • G. Ost.
  • T T T
    • Cortical shaving.
    • Remission.
  • Cherubism
    • Hereditary ,bilat. Sym. Enl.
    • Mand.
    • 5 years.
    • M.>f.
    • Heavenward look.
  • Cheurbism.
  • Rad.
  • Cheurbism.
  • Cherubism
  • Presentation
    • 1 st -2 nd
    • Female.
    • max. > mand.
    • Painless , slow grow.unilat.
    • Cortical expansion. Displacement of Teeth.
    • Pathological Fracture
  • T T T
    • Self-limited ,Reg. after puberty
  • THANK YOU