Rapidly growing peripheral giant cell granuloma: A case report

Gutiérrez E.H.M.; Cornejo H.M.V.; Jiménez-Prado C.A.; Guillén-Galarza M.F. · Revista Portuguesa de Estomatologia, Medicina Dentaria e Cirurgia Maxilofacial (2026) · DOI: 10.24873/j.rpemd.2026.04.1568

Resumen

Peripheral giant cell granuloma is a benign reactive gingival lesion associated with chronic irritation. It typically presents as a reddish-violet mass that tends to bleed or ulcerate and may be associated with underlying bone resorption. A 62-year-old woman presented with a three-month history of a painful, bleeding, pedunculated lesion extending from the right mandibular canine to the second premolar. Radiographic findings suggestive of superficial cortical alteration were observed. The lesion was treated by complete surgical excision using an elliptical incision, including removal of the pedicle and curettage of the underlying periosteum and superficial bone. Histopathological evaluation confirmed the diagnosis of peripheral giant cell granuloma. Local irritative factors were eliminated to reduce the risk of recurrence. At the one-month follow-up, healing was satisfactory. Due to the short follow-up period, recurrence cannot be assessed. This case highlights the importance of early recognition and complete surgical management to prevent bone involvement and guide appropriate treatment. (Rev Port Estomatol Med Dent Cir Maxilofac. 2026;67(1):34-39)

Instituciones: Universidad Nacional de Trujillo; Universidad Privada Antenor Orrego