Non-Surgical Management of Mandibular Central Giant Cell Granuloma Using Denosumab

The typical management of central giant cell granuloma (CGCG) of the jaws involves curettage or resection; however, medical therapies such as denosumab have emerged as potential alternatives in selected cases.We present a case of a 22-year-old patient presenting with a right mandibular expansile lesion.Imaging and biopsy confirmed mandibular CGCG.The patient was managed non-surgically with denosumab, and follow-up imaging demonstrated lesion stabilisation and radiographic maturation.Denosumab may represent an alternative to surgery when operative management carries significant morbidity.

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Publication Details

Journal
British Journal of Oral and Maxillofacial Surgery
Published
2026-05-01
DOI
https://doi.org/10.1016/j.bjoms.2026.04.005
Primary Topic
Bone Tumor Diagnosis and Treatments
Type
article
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article

Non-Surgical Management of Mandibular Central Giant Cell Granuloma Using Denosumab

Shivanjali Pandya, Megan Samuel, Janavikulum Thiruchelvam
British Journal of Oral and Maxillofacial Surgery
Bone Tumor Diagnosis and Treatments
article

Non-Surgical Management of Mandibular Central Giant Cell Granuloma Using Denosumab

Shivanjali Pandya, Megan Samuel, Janavikulum Thiruchelvam
article en

Abstract

The typical management of central giant cell granuloma (CGCG) of the jaws involves curettage or resection; however, medical therapies such as denosumab have emerged as potential alternatives in selected cases.We present a case of a 22-year-old patient presenting with a right mandibular expansile lesion.Imaging and biopsy confirmed mandibular CGCG.The patient was managed non-surgically with denosumab, and follow-up imaging demonstrated lesion stabilisation and radiographic maturation.Denosumab may represent an alternative to surgery when operative management carries significant morbidity.

British Journal of Oral and Maxillofacial Surgery
Queen Mary University of London (GB), Barts Health NHS Trust (GB), Broomfield Hospital (GB), Mid Essex Hospital Services NHS Trust (GB)
Openalex Percentile: Top 6%
Bone Tumor Diagnosis and Treatments
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