An aggressive lesion of anterior maxilla.

AIM 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. CASE DESCRIPTION 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. CONCLUSION A diagnosis of CGCG of aggressive nature should be kept in mind, in a young immunocompromised patient. CLINICAL SIGNIFICANCE 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.