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peripheral giant cell granuloma

Definition: Peripheral giant cell granulomas are giant cell reparative granulomas of extragnathic sites. Peripheral giant cell reparative granulomas are uncommon lesions that predominantly involve the short tubular bones of the hands and feet.

Synopsis

- Intact or ulcerated surface epithelium cover
- benign proliferation of granulation-like tissue that supports numerous benign multinucleated giant cells
- abundant extravasated deposits of hemosiderin
- spicules of woven or lamellar bone (35%)

Associations

- Noonan syndrome (9660063, /16860226/)

Cytogenetics

- t(X;4)(q22;q31.3) (10565307)

Differential diagnosis

- osseous giant cell reactions
- osseous giant cell lesions
- osseous giant cell tumors

See also

- central giant cell granuloma (maxillary, mandible)

References

- Wold LE, Dobyns JH, Swee RG, Dahlin DC. Giant cell reaction (giant cell reparative granuloma) of the small bones of the hands and feet. Am J Surg Pathol. 1986 Jul;10(7):491-6. PMID: 3728789

- Lorenzo JC, Dorfman HD. Giant-cell reparative granuloma of short tubular bones of the hands and feet. Am J Surg Pathol. 1980 Dec;4(6):551-63. PMID: 7212148

- Hirschl S, Katz A. Giant cell reparative granuloma outside the jaw bone. Diagnostic criteria and review of the literature with the first case described in the temporal bone. Hum Pathol. 1974 Mar;5(2):171-81. PMID: 4590573