Abstract
Objective
To evaluate and compare the clinicopathological features of giant cell tumour (GCT), central giant cell granuloma (CGCG) and peripheral giant cell granuloma (PGCG).
Material and methods
From 2006 to 2016, all histopathologically diagnosed cases of GCT were retrieved from the Department of Pathology, T.N.M.C, Mumbai and CGCG and PGCG were retrieved from the Department of Oral Pathology, Nair Hospital Dental College, Mumbai. Statistical analysis of the clinicopathological features was done using SPSS v 21.0, IBM. Intergroup comparison of all variables was done using t test for two groups, whereas, Kruskal–Wallis test and one-way ANOVA were done for more than two groups.
Results
Twelve cases of GCT, 31 cases of CGCG and 39 cases of PGCG were reported over 11 years. The mean age of occurrence for GCT, CGCG and PGCG was 30.41 years, 27.69 years and 34.03 years, respectively. GCT was seen in long bones and CGCG and PGCG showed mandible predilection. Histologically, GCT showed evenly distributed giant cells with aggregated nuclei, whereas CGCG and PGCG showed aggregated giant cells with evenly distributed nuclei. The mean value of the number of giant cells and nuclei within giant cells was maximum in GCT (27.33, 33.50) followed by CGCG (23.56, 15.51) and PGCG (21.45, 11.32).
Conclusion
The clinicopathological differences between GCT, CGCG and PGCG suggest that each one of these entities represent biologically different lesions.
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References
Mavrogenis AF, Igoumenou VG, Megaloikonomos PD, Panagopoulos GN, Papagelopoulos PJ, Soucacos PN (2017) Giant cell tumor of bone revisited. SICOT-J 3:54
Sidhu MS, Parkash H, Sidhu SS (1995) Central giant cell granuloma of jaws—review of 19. Br J Oral Maxillofac Surg 33(1):43–46
Waldron CA, Shafer WG (1966) The central giant cell reparative granuloma of the jaws. An analysis of 38 cases. Am J Clin Path 45(4):437–447
Chandna P, Srivastava N, Bansal V, Wadhwan V, Dubey P (2017) Peripheral and central giant cell lesions in children: institutional experience at Subharti Dental College and Hospital. Ind J Med Paediatr Oncol 38(4):440–446
Motamedi MH, Eshghyar N, Jafari SM, Lassemi E, Navi F, Abbas FM et al (2007) Peripheral and central giant cell granulomas of the jaws: a demographic study. Oral Surg Oral Med Oral Pathol Oral Radiol and Endodontol 103(6):39–43
Auclair PL, Cuenin P, Kratochvil FJ (1988) A clinical and histomorphologic comparison of the giant cell granuloma and the giant cell tumour. Oral Surg Oral Med Oral Pathol Oral Radiol 66:197–208
Chuong R, Kaban LB, Kozakewich H, Perez-atayde A (1986) Central giant cell lesions of the jaws: a clinicopathologic study. J Oral Maxillofac Surg 44:708–713
Abrams B, Shear M (1974) A histological comparison of the giant cells in the central giant cell granuloma of the jaws and the giant cell tumor of long bone. J Oral Pathol Med 3(5):217–223
Al Sheddi MA, Mosadomi HA, Al Dayel FH (2014) Central giant cell granuloma of the jaws and giant cell tumor of long bones: a clinicopathological, cytometric and immunohistochemical comparative study. Saudi J Oral Sci 1(1):47–53
Andersen L, Fejerskov O, Phiilipsen HP (1973) Oral giant cell granulomas a clinical and histological study of 129 new cases. Acta Pathol Microbiol Scand Sect A 81(5):606–616
Flórez-Moreno GA, Henao-Ruiz M, Santa-Sáenz DM, Castañeda-Peláez DA, Tobón-Arroyave SI (2008) Cytomorphometric and immunohistochemical comparison between central and peripheral giant cell lesions of the jaws. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 105(5):625–632
Aghbali A, Sina M, Pakdel SM, Emamverdizadeh P, Kouhsoltani M, Mahmoudi SM et al (2013) Correlation of histopathologic features with demographic, gross and radiographic findings in giant cell granulomas of the jaws. J Dent Res Dent Clin Dent Prosp 7(4):225–229. https://doi.org/10.5681/joddd.2013.036
Batsakis JG (1979) Tumor of the head and neck. In: Clinical and pathological considerations, pp 431–447
Rogers LF, Mikhael M, Christ M, Wolff A (1984) Case report 276. Skeletal Radiol 12(1):48–53
Caillouette JC, Mattar N (1978) Massive peripheral giant cell granuloma of the jaws: a pregnancy dependant tumor. Am J Obstet Gynecol 131:176–178
Whitaker SB, Bouquot JE (1994) Estrogen and progesterone receptor status of central giant cell lesions of the jaws. Oral Surg Oral Med Oral Pathol 77(6):641–644
Ambrecht EC, Waterman WA (1953) Bilateral giant cell tumors of the mandible. Oral Surg Oral Med Oral Pathol 6:1186–1190
Lshii T, Saito T, Morimoto K et al (1993) Estrogen stimulates the elaboration of cell/matrix surface-associated inhibitory factor of osteoclastic bone resorption from osteoclastic cells. Biochem Biophys Res Comm I9 I:495–502
Hamlin WB, Lund PK (1967) “Giant cell tumors” of the mandible and facial bones. Arch Otolaryng 86(6):658–665
Park SR, Chung SM, Lim JY, Choi EC (2012) Giant cell tumor of the mandible. Clin Expotorhinolaryngol 5(1):49–52
Kulkarni D, Shetty L, Kulkarni M, Mahajan B (2013) Extensive giant cell tumour of the mandible: a case report with review. J Maxillofac Oral Surg 12(4):461–465
Ficarra G, Kaban LB, Hansen LS (1987) Central giant cell lesions of the mandible and maxilla: a clinicopathologic and cytometric study. Oral Surg Oral Med Oral Pathol 64(1):44–49
Wülling M, Delling G, Kaiser E (2003) The origin of the neoplastic stromal cell in giant cell tumor of bone. Hum Pathol 34(10):983–993
Kim Y, Nizami S, Goto H, Lee FY (2012) Modern interpretation of giant cell tumor of bone: predominantly osteoclastogenic stromal tumor. Clinics Ortho Surg 4(2):107–116
Vasconcelos RG, Vasconcelos MG, Queiroz LM (2013) Peripheral and central giant cell lesions: etiology, origin of giant cells, diagnosis and treatment. J Bras Pathol Med Lab 49(6):446–452
Liu B, Yu SF, Li TJ (2003) Multinucleated giant cells in various forms of giant cell containing lesions of the jaws express features of osteoclasts. J Oral Pathol Med 32(6):367–375
Whitaker SB, Waldron CA (1993) Central giant cell lesions of the jaws: a clinical, radiologic, and histopathologic study. Oral Surg Oral Med Oral Pathol 75(2):199–208
Sapp JP (1972) Ultrastructure and histogenesis of peripheral giant cell reparative granuloma of the jaws. Cancer 30(4):1119–1129
Katsikeris N, Kakarantza AE, Angelopoulos AP (1988) Peripheral giant cell granuloma. Clinicopathologic study of 224 new cases and review of 956 reported cases. Int J Oral Maxillofac Surg 17(2):94–99
Bavle R (2014) Eosinophilic nucleoli. J Oral Maxillofac Pathol 18:152. https://doi.org/10.4103/0973-029X.140716
Kahn A, Chaushu G, Ginene L, Vered M (2017) Age and expression of CD163 and colony-stimulating factor 1 receptor (CD115) are associated with the biological behavior of central giant cell granuloma. J Oral Maxillofac Surg 75(7):1414–1424
Flanagan AM, Tinkler S, Horton MA, Williams DM, Chambers TJ (1988) The multinucleate cells in giant cell granulomas of the jaw are osteoclasts. Cancer 62(6):1139–1145
Kader O, Bashar H, Abdullah BH, Edward ML (2011) Histopathological and immunohistochemical study of giant cell granuloma of the jaw and giant cell tumor of long bones (comparative study). Iraqi Postgrad Med J 10:33–39
Sarode SC, Sarode GS (2014) Cellular cannibalism in central and peripheral giant cell granuloma of the oral cavity can predict biological behavior of the lesion. J Oral Pathol Med 43(6):459–463
Sarode GS, Sarode SC, Gawande S, Patil S, Anand R, Patil SG, Patil P (2017) Cellular cannibalism in giant cells of central giant cell granuloma of jaw bones and giant cell tumors of long bones. J Investig Clin Dent 8(2):1–7
Nagar SR, Bansal S, Jashnani K, Sinha A, Desai RS (2020) A comparative analysis of p63 expression in giant cell tumour (GCT), central giant cell granuloma (CGCG) and peripheral giant cell granuloma (PGCG). Head Neck Pathol 14(3):733–741
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SRN, SB, RSD contributed to study concepts; SRN, SB contributed to study design; SRN, SB, RSD, KJ contributed to data Acquisition.
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Approval of the Institutional Ethical Committee (IEC), NHDC (Nair Hospital Dental College), Mumbai; was obtained before starting the study.
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Nagar, S.R., Bansal, S., Jashnani, K. et al. A Comparative Clinicopathological Study of Giant Cell Tumour (GCT), Central Giant Cell Granuloma (CGCG) and Peripheral Giant Cell Granuloma (PGCG). J. Maxillofac. Oral Surg. 22, 485–501 (2023). https://doi.org/10.1007/s12663-022-01724-3
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DOI: https://doi.org/10.1007/s12663-022-01724-3