Centralny ziarniniak olbrzymiokomórkowy u 11-letniego pacjenta po transplantacji nerki

*Ewa Krasuska-Sławińska¹,Katarzyna Świstak¹, Wioletta Jarmużek², Maciej Pronicki³, Dorota Olczak-Kowalczyk⁴

Summary
Introduction: Central giant cell granulomabenign semi-tumor osseous lesion. In patients after kidney transplantation this is often recognized as a first symptom of development of secondary hyperparathyroidism.
Aim: Aim of study is case presentation of patient after kidney transplantation, in who affirmed central giant cell granulomapresence in jaw in 22, 23 tooth region.
Case report: patient reported to clinic due to exorbitancy and oedema in alveolar process of jaw in 22, 23 tooth region. The lesion has been developing during 1 month, it was painless, covered by blue-red, soft-elastic mucosa without inflammatory symptoms, diameter 1.5 mm. There were no pathological changes in pantomography but CT – abnormal mass in alveolar process of jaw region was presented. Total surgical removal of the change was performed. Because of young age, didn’t decide to extraction of neighbour with change tooth. The histopathology exam revealed image of giant cell granuloma.
After an 5 month follow up from surgery recurrence of disease confirmed by CT was recorded. The patient was scheduled for extensive surgery, but we gave up because regression of the clinical recurrence was noticed. Recently after 38 month follow up from surgery clinical and radiological signs of tumor recurrence were not observed.
Conclusions: treatment of choice of central giant cell granuloma is radical remove of change including tooth in mass of tumor. Only in patients in developmental age exist possibility depart from tooth extractions, as in this case turned out good decision.

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