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PERİFERAL DEV HÜCRE Lİ GRANÜLOMLARIN KLİNİKOPATOLOJİK OLARAK DEĞERLENDİRİLMESİ

A CLINICOPATHOLO GIC EVALUATION OF PERIPHERAL GIANT CELL GRANULOMAS

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Abstract (2. Language): 
Purpose: The aim of this study was to evaluate correlation between histological and clinical characteristics in Peripheral Giant Cell Granulomas (PGCG). Material and Methods: In the present study a total of 45 PGCG cases were evaluated which was found in the archive of Gazi University Faculty of Dentistry, Department of Oral Pathology. PGCG cases were investigated according to age, sex, localization, macroscopic size and histopathologic appearance and clinicopathologic correlation was done. Results: Most of the cases were seen in 4th-6th decades. 55,6% cases were men, maxillary anterior and mandibular premolar-molar region were the most frequently seen anatomical regions. Histologically 36 of 45 cases was consisted of lobular structure and 60% cases had extensive ulceration on the surface epithelium. 48,9% cases were included reactive osteoid. Conclusion: The early diagnosis of PGCG, based on the clinical, radiological and histological findings, performs conservative management with a lesser risk for the prognosis of teeth and adjacent bone.
Abstract (Original Language): 
Amaç: Bu çalışmanın amacı periferal dev hücreli granülom (PDHG) olgularındaki histolojik özelliklerin, klinik bulgularla olan ilişkisini değerlendirmektir. Gereç ve Yöntem: Çalışmamızda Gazi Üniversitesi Diş Hekimliği Fakültesi Oral Patoloji Bilim Dalı arşivinde yer alan 45 adet PDHG vakasının yaş, cinsiyet, yerleşim yeri, makroskobik büyüklüğü ve histomorfolojik özellikleri açısından değerlendirilmiş ve klinikopatolojik yönden ilşkisi incelenmiştir. Bulgular: Vakaların çoğu 4. ve 6. dekatlar arasındaydı. Lezyonların %55,6'sı erkek hastalarda izlenirken, en sık görüldüğü anatomik alanlar maksillada anterior bölge, mandibulada premolar-molar bölge idi. Histolojik olarak 36 vakanın lobüler yapıda olduğu %60'ında yüzey epitelinde geniş ülserasyonun var olduğu görüldü. İncelenen vakaların %48,9'unda reaktif osteoid varlığı dikkati çekti. Sonuç: PDHG vakalarının klinik, radyografik ve histolojik bulgular ışığında erken tanısının ve konservatif tedavilerinin yapılması lezyonla ilgili diş ve alveol kemiğin prognozu için daha az bir risk oluşturacaktır.
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REFERENCES

References: 

1. Regezi JA., Sciubba JJ.;Oral Pathology Clinical Pathologic Correlations 5th ed., W.B.Saunders Company 2008;Chapter 4,112-13.
2. Katsikeris N, Kakarantza-Angelopoulou S. Peripheral giant cell granuloma: clinico-pathologic study of 224 new cases and 956 reported cases. Int J Oral Maxillofac Surg
1988;17:94-9
3. Gültekin SS, Tokman B, Türkseven MR.; Dişeti Lezyonlarının Klinikopatolojik Profili;Atatürk Üniv.Diş Hek.Fak.Derg.; 2000;10:25-28
4. Whitaker SB, Waldron CA.;Central Giant Cell Lesions of jaws. A clinical radiologic and histopathologic study. Oral Surg. Oral Med. Oral Pathol.,1993;78: 199-208
5. Chaparro-Avendano Av, Berını-Aytes L, Gay Sscoda C. Perıpheral Gıant Cell Granuloma. A Report Of Fıve Cases And Revıew Of The Lıterature. Med Oral Patol Oral Cır Bucal2005;10:48-57
Atatürk Üniv. Diş Hek. Fak. Derg.
J Dent Fac Atatürk Uni
Cilt:20, Sayı: 2, Yıl: 2010, Sayfa: 79-83
6. Pandolfi PJ, Felefli S, Flaitz CM, Jhonson JV. An aggressive peripheral giant cell granuloma in a child. J Clin Pediatr Dent 1999;23:353-5.)
7. Dayan P, Buchner A, Spirer S. Bone formation in peripheral giant cell granuloma. J Periodontol 1990;61:444-6
8. Hirshberg A, Kozlovsky A, Schwartz-Arad D, Mardinger O, Kaplan I.: Peripheral giant cell granuloma associated with dental implants. J Periodontol. 2003 Sep;74(9):1381-4.
9. Kfir Y, Buchner A, Hansen L. Reactive lesions of the gingiva. A clinicopathological study of 741 cases. J Periodontol 1980;51:655-61.9
10. Mighell AJ, Robinson PA, Hume WJ. Peripheral giant cell granuloma: a clinical study of 77 cases from 62 patients and literature review. Oral Dis
1995;1:12-9
11. Reichart PA, Philipsen HP: Color Atlas of Dental Medicine - Oral Pathology, Thieme Medical Publishers, Stuttgart-Germany,2001; 55-56.
12. Andersen L, Fejerskov O, Philipsen HP. Oral giant cell granulomas. A clinical and histological study of 129 new cases. Acta Pathol Microbiol Scand
1973; 81:606-16.
13. Flaitz CM. Peripheral giant cell granuloma: a potentially ggressive lesion in children. Pediatr
Dent 2000;22:232-3.
14. Bhaskar NS, Cutright DE, Beasley JD, Perez B. Giant cell reparative granuloma (peripheral): report of 50 cases. J Oral Surg 1971;29:110-5
15. Bodner L, Peist M, Gatot A, Fliss DM. Growth potential of peripheral giant cell granuloma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod
1997;83: 548-51
16. Gültekin SE, Saraçgil S, Oygür T, Yücel E.; A Clinical and Histological Evaluation of Giant Cell Lesions of The Jaws. Asian J. Oral Maksillofac.
Surg. 1998;10:23-31
17. Breault LG, Fowler EB, Wolfgang MJ, Lewis DM., Peripheral giant cell granuloma: a case report.
Gen Dent 2000 Nov-Dec;48(6):716-9.
18. Bonetti F.,Pelosi G., Martignoni G., Mombello A, Zamboni G. et al. Peripheral giant cell granuloma: Evidence for osteoclastic differenciation. Oral Surg. Oral Med. Oral Pathol.1990;70:471-475.
19. Eversole LF, Rovin S. Reactive lesions of the gingiva. J Oral Pathol 1972;1:30-8.
BARIŞ, GÜLTEKİN, BOZKAYA
20. Mighell AJ, Robinson PA, Hume WJ. Peripheral giant cell granuloma: a clinical study of 77 cases from 62 patients and literature review. Oral Dis
1995;1:12-9
21. Stern M, Eisenbud L. Management of giant cell lesions of the jaws. Oral Maxillofacial Surg Clin
North Am 1991;3:165-77.
22. Regezi JA.: Odontogenic cysts, odontogenic tumors, fibroosseous, and giant cell lesions of the jaws. Mod Pathol. 2002 Mar;15(3):331-41.

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