An Uncommon Maxillary Presentation of Aggressive Central Giant Cell Granuloma in a Child: Clinical and Radiological Insights

Background Central Giant Cell Granuloma (CGCG) is a benign intraosseous lesion of the jaws, exhibiting a variable clinical course. The aggressive variant is characterized by rapid expansion, cortical perforation, and a higher recurrence rate. Maxillary involvement, particularly in pediatric patients, is rare and often poses diagnostic and therapeutic challenges.  Case Presentation This case report describes a 13-year-old female presenting with a rapidly enlarging, painless swelling in the anterior maxilla. Clinical, radiographic, and histopathological findings confirmed the diagnosis of aggressive CGCG. Cone-beam computed tomography revealed cortical breach with extension into the maxillary sinus and nasal cavity. Surgical excision under general anesthesia was performed, followed by splint placement. Postoperative recovery was uneventful, and the patient remains under regular follow-up with no signs of recurrence to date.  Conclusion Early diagnosis and surgical intervention are crucial in managing aggressive CGCG, especially in pediatric patients, to prevent functional and esthetic complications. Radiographic assessment and histopathological confirmation remain vital for appropriate treatment planning and minimizing recurrence risk.