Giant cell lesions

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  • REP.INTRABON,HEM
  • Giant cell lesions

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

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