Unusual aggressive behavior of central giant cell granuloma following tooth extraction

Figure 1 Diffuse swelling on lower right side of face.

Figure 2 Swelling in molar region with marks of indentation on overlying mucosa.

Figure 3 Mandibular lateral occlusal view showing predominantly buccal and lingual expansion with thinning of cortical plates.

Figure 4 Cropped orthopantomograph showing (A) a multilocular lesion in body and ramus of mandible on right side (B) a surgical defect and radioopaque image of reconstruction plate.

Figure 5 Photomicrograph showing multinucleated giant cells and spindle cells (10 ×).

Figure 6 Photomicrograph showing multinucleated giant cells (40 ×).

Figure 7 Immunohistochemical expresson of cytokeratin in giant cells.