Forum for Clinical and Surgical Oral Pathology

Case BBOPF 13-4

A 39 year old Caucasian female presented with incidental lesion noted on oral exam. Monitored by DDS for 6 months with slow increase in size. Resorption of the underlying palatal bone was noted. Tissue was spongy and hemorrhagic. Teeth # 9-12 tested vital. Provisional dx from the surgeon was "Central giant cell granuloma."

I would appreciate your thoughts about this case.

Harvey P. Kessler
Professor
Department of Diagnostic Sciences
Texas A & M University, Baylor College of Dentistry
3302 Gaston Avenue
Dallas, Texas 75246

Images

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[Click to enlarge] 1. Radiograph [Click to enlarge] 1. Clinical Image [Click to enlarge] 3. H&E 2x 2 [Click to enlarge] 4. H&E 2x 3 [Click to enlarge] 5. H&E 2x [Click to enlarge] 6. H&E 5x 2 [Click to enlarge] 7. H&E 5x 3 [Click to enlarge] 8. H&E 5x [Click to enlarge] 9. H&E 10x 2 [Click to enlarge] 10. H&E 10x 3 [Click to enlarge] 11.H&E 10x [Click to enlarge] 12. H&E 20x 2 [Click to enlarge] 13. H&E 20x 3 [Click to enlarge] 14. H&E 20x [Click to enlarge] 15. CD31 2x [Click to enlarge] 16. CD31 5x [Click to enlarge] 17. CD31 10x [Click to enlarge] 18. CD31 20x 2 [Click to enlarge] 19. CD31 20x [Click to enlarge] 20. CD34 2x [Click to enlarge] 21. CD34 5x [Click to enlarge] 22. CD34 10x [Click to enlarge] 23. CD34 20x [Click to enlarge] 24. S100 2x [Click to enlarge] 25. S100 5x [Click to enlarge] 26. S100 10x [Click to enlarge] 27. S100 20x [Click to enlarge] 28. SMA 2x [Click to enlarge] 29. SMA 5x [Click to enlarge] 30. SMA 10x [Click to enlarge] 31. SMA 20x   Case prepared by Dr. Alfredo Aguirre (BBOP Manager) and Daniel Emmer (Web Administrator, University at Buffalo School of Dental Medicine).

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