CC BY-NC-ND 4.0 · Laryngorhinootologie 2018; 97(S 02): S337
DOI: 10.1055/s-0038-1640888
Abstracts
Rhinologie: Rhinology

A rare case of Giant Cell Granuloma of both maxillary sinuses

J Reden
1   Uniklinikum Dresden, Dresden
,
V Gudziol
1   Uniklinikum Dresden, Dresden
,
T Zahnert
1   Uniklinikum Dresden, Dresden
› Author Affiliations
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    Introduction:

    The Giant Cell Granuloma is a rare, benign tumor of the bone with expansive and osteolytic growth. Because of its common occurrence in the lower jaw it is generally diagnosed and treated by dentists and oral surgeons.

    Case:

    The present case shows an 11 year old girl suffering microcephaly and an infant cerebral palsy. A MRI scan of the head showed cloudy maxillary sinuses as an incidental finding. The patient's mother reported of a minor swelling of the left cheek. Through an endonasal endoscopic tissue sample the diagnose of a Giant Cell Granuloma was confirmed.

    The surgical treatment by means of a tumorresection via oral vestibule revealed major infiltration of the bony walls of the maxillary sinuses and the pterygopalatine fossa. A MRI scan three months later showed a progress of tumorexpansion, so no further therapy could be considered.

    The further progressing in the following years showed a stable disease, clinically and in imaging controls. Presently, epistaxis and problems breathing through the nose bother the patient, caused by swollen and vulnerable mucosa.

    Discussion:

    The present case report shall indicate a rare differential diagnosis of pathologies of the nasal sinuses.

    The therapy of a Giant Cell Granuloma is the surgical resection of the tumor. Because of its variety of expansive characteristics the prognosis is difficult to anticipate.


    #

    No conflict of interest has been declared by the author(s).

    Dr. med. Jens Reden
    Uniklinikum Dresden,
    Fetscherstrasse 74, 01307,
    Dresden

    Publication History

    Publication Date:
    18 April 2018 (online)

    © 2018. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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