title: An aggressive lesion of anterior maxilla.
abstract: OBJECTIVE
  To understand the aggressiveness of lesions in immunocompromised patients. Central giant cell granuloma (CGCG) is a non-neoplastic intraosseous lesion, anterior to the molars and more commonly in the mandible. It is an uncommon lesion accounting for less than 7% of all benign jaw lesions found predominantly in children and young adults with a female predilection of about 2:1 ratio.
  
  
  METHODS
  A 22-year-old male patient came to the department with a growth in the anterior part of the maxilla with pain, rapid pace of growth and which recurred after initial excision as told to us in the case history.
  
  
  CONCLUSIONS
  A diagnosis of CGCG of aggressive nature should be kept in mind, in a young immunocompromised patient.
  
  
  CONCLUSIONS
  A recurrent lesion, with rapid pace of growth, associated with pain, a positive immunodeficient status, lesion in the anterior maxilla in a male patient, we can think of an aggressive CGCG.
authors: Department of Oral Medicine and Radiology, Sri Rajiv Gandhi College of Dental Sciences and Hospital, Bengaluru, Karnataka, India. dr_durga@hotmail.com
authors: Durga Rajaram
authors: DR
authors: Okade
authors: Leena
authors: L
authors: James
authors: Akshay
authors: A
authors: Shetty
authors: Sudhakara
authors: S
authors: Reddy
mesh_terms: D016301:Alveolar Bone Loss / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D006101:Granuloma, Giant Cell / Q000175:diagnosis*; D015658:HIV Infections / Q000276:immunology*; D006801:Humans; D016867:Immunocompromised Host; D008297:Male; D008439:Maxillary Diseases / Q000175:diagnosis*; D010014:Osteolysis / Q000000981:diagnostic imaging; D011859:Radiography; D012008:Recurrence; D012391:Root Resorption / Q000000981:diagnostic imaging; D055815:Young Adult