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Agarwal L, Lalani R, Agrawal M. Congenital Epulis. Indian J Med Paediatr Oncol 2022. [DOI: 10.1055/s-0042-1754372] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022] Open
Affiliation(s)
| | - Rajendra Lalani
- Department of Pathology, Dr. Rajendra Lalani Lab, Rajkot, Gujarat, India
| | - Manmohan Agrawal
- Department of Onco-surgery, Pushpadi Cancer Care Centre, Kota, Rajasthan, India
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Torresani E, Girolami I, Marletta S, Eccher A, Ghimenton C. Congenital granular cell epulis of newborn: importance of prenatal diagnosis. Pathologica 2021; 113:280-284. [PMID: 34542544 PMCID: PMC8488987 DOI: 10.32074/1591-951x-135] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2020] [Accepted: 05/05/2020] [Indexed: 11/30/2022] Open
Abstract
Congenital granular cell epulis is a rare benign lesion usually arising as single mass from the alveolar ridge of maxillary bone of female newborns, composed of polygonal granular cells that typically stain negative for S-100, in contrast to the adult counterpart. Larger lesions can disturb breathing and breast-feeding, requiring surgery. Prenatal diagnosis is achieved in few cases, even if this would be important for best management of delivery and therapy. Here we present a case of multiple CGCE in a female newborn discovered at birth, together with a brief review of pathogenesis, differential diagnoses and treatment implications of early diagnosis.
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Affiliation(s)
- Evelin Torresani
- Department of Pathology and Diagnostics, University and Hospital Trust of Verona, Verona, Italy
| | - Ilaria Girolami
- Department of Pathology and Diagnostics, University and Hospital Trust of Verona, Verona, Italy
| | - Stefano Marletta
- Department of Pathology and Diagnostics, University and Hospital Trust of Verona, Verona, Italy
| | - Albino Eccher
- Department of Pathology and Diagnostics, University and Hospital Trust of Verona, Verona, Italy
| | - Claudio Ghimenton
- Department of Pathology and Diagnostics, University and Hospital Trust of Verona, Verona, Italy
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Johnson KM, Shainker SA, Estroff JA, Ralston SJ. Prenatal Diagnosis of Congenital Epulis: Implications for Delivery. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2017; 36:449-451. [PMID: 28026880 DOI: 10.7863/ultra.16.03055] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Affiliation(s)
- Katherine M Johnson
- Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA
- Department of Obstetrics, Gynecology, and Reproductive Biology, Harvard Medical School, Boston, Massachusetts, USA
| | - Scott A Shainker
- Division of Maternal-Fetal Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA
- Department of Obstetrics, Gynecology, and Reproductive Biology, Harvard Medical School, Boston, Massachusetts, USA
| | - Judy A Estroff
- Department of Radiology, Advanced Fetal Care Center, Boston Children's Hospital, Boston, Massachusetts, USA
| | - Steven J Ralston
- Division of Maternal-Fetal Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA
- Department of Obstetrics, Gynecology, and Reproductive Biology, Harvard Medical School, Boston, Massachusetts, USA
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Tonni G, Granese R, Martins Santana EF, Parise Filho JP, Bottura I, Borges Peixoto A, Giacobbe A, Azzerboni A, Araujo Júnior E. Prenatally diagnosed fetal tumors of the head and neck: a systematic review with antenatal and postnatal outcomes over the past 20 years. J Perinat Med 2017; 45:149-165. [PMID: 27508950 DOI: 10.1515/jpm-2016-0074] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/29/2016] [Accepted: 06/19/2016] [Indexed: 12/19/2022]
Abstract
AIM The aim of this study was to review prenatally diagnosed tumors of the head and neck in the fetus and to report antenatal and postnatal outcomes. METHODS PubMed/Medline, EMBASE/SCOPUS, Cochrane database and Google Scholar were reviewed over the last 20 years. No language or article type restriction was used. RESULTS A total of 1940 record were retrieved. Of the 713 records screened, 566 full-text articles were assessed for eligibility. After 445 articles were excluded for specified reasons, 111 studies met the research criteria and were included for qualitative analysis. Overall, 306 cases of fetal tumors of the head and neck were reviewed. Maternal age was an independent factor. The mean maternal age was 28.2 years and gestational age at prenatal diagnosis was 27.1 weeks. Conventional 2D ultrasound was the standard diagnostic procedure in 27.9% of cases and was implemented in 27.3% of cases by 3D ultrasound and fetal magnetic resonance imaging (MRI). Diagnostic evaluation of intracranial spreading and high-airway obstructions was greatly enhanced by fetal MRI. The more common type of fetal tumor was hemangioma/lymphangioms (42.1%), followed by teratomas (29.7%), tumors of the gingiva (10.1%) and lymphatic venous malformations (9.1%), respectively. Fetal karyotyping was performed only in 9.8% of cases; within fetuses undergoing karyotype, chromosomal abnormalities accounted for 20% of cases. The most common pregnancy complication was polyhydramnios (26.3%). Ex utero intrapartum treatment (EXIT) procedure was performed in 30.1% of cases while surgical excision was used in 22.9% during postnatal life. The survival rate was 35.35%. CONCLUSION Fetal tumors of the head and neck are rare congenital malformations. Two-dimensional ultrasound is diagnostic in almost all cases; however, MRI may be an important diagnostic adjunct in targeted cases and help patient selection for immediate intubation at the time of delivery. EXIT procedure and surgical removal of the tumor was associated with good prognosis.
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Abstract
Congenital epulis, a benign tumor of the oral cavity, is an extremely rare condition in newborn. It may lead to mechanical obstruction, therefore resulting in respiratory distress and difficulty in feeding. Addressing the problem may need a multidisciplinary team approach at the time of birth. Antenatal ultrasonography and perinatal magnetic resonance imaging are an adjunct to treatment planning. Prenatal diagnosis remains difficult as the findings are nonspecific due to the late development of the tumor. Surgical excision is, therefore, the treatment of choice. Our report discusses this condition and the treatment thereafter on a newborn, with an epulis originating from the upper alveolar ridge discovered at birth. Histological examination confirmed the diagnosis of large polygonal granular cells. The mass was excised under general anesthesia, and the outcome was good after surgery allowing regular feeds on the second postoperative day.
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Affiliation(s)
- R Mahesh Kumar
- Departments of Oral and Maxillofacial Surgery, KCDS, Bengaluru, Karnataka, India
| | - Radhika M Bavle
- Department of Oral and Maxillofacial Pathology, KCDS, Bengaluru, Karnataka, India
| | - D N Umashankar
- Departments of Oral and Maxillofacial Surgery, KCDS, Bengaluru, Karnataka, India
| | - Rashi Sharma
- Departments of Oral and Maxillofacial Surgery, KCDS, Bengaluru, Karnataka, India
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Yoshioka I, Marutsuka K, Igawa K, Nagata J, Yoshida M, Baba T, Ichiki T, Kondoh Y, Takamori K, Kashima K, Sakoda S. Epidermal choristoma arising on the midline gingiva as a congenital epulis: A case report. J Craniomaxillofac Surg 2012; 40:812-4. [DOI: 10.1016/j.jcms.2012.02.023] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2012] [Revised: 02/16/2012] [Accepted: 02/28/2012] [Indexed: 11/25/2022] Open
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Brennan PA, Habib A. What are we reading? A study of downloaded and cited articles from the British Journal of Oral and Maxillofacial Surgery in 2010. Br J Oral Maxillofac Surg 2012; 49:527-31. [PMID: 21689872 DOI: 10.1016/j.bjoms.2011.05.010] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2011] [Accepted: 05/18/2011] [Indexed: 12/19/2022]
Abstract
A large number of papers related to oral and maxillofacial surgery are published in many specialist journals. With the ever-increasing use of the internet it is easy to download them as part of a journal subscription on a fee per paper basis, or in some cases for free. Online access to the British Journal of Oral and Maxillofacial Surgery (BJOMS) is free to British Association (BAOMS) members with a $30 fee per paper download for non-members. Many colleagues use the online version of the journal, and this provides valuable information about downloading trends. Other data on articles that have been cited in subsequent publications are also readily available, and they form the basis for the calculation of a journal's impact factor. We evaluated the top 50 downloaded papers from the BJOMS website in 2010 to ascertain which articles were being read online. We also obtained data on the number of citations for papers published in 2009-2010 to see whether these papers were similar to the articles being downloaded. In 2010 there were over 360000 downloaded articles. The most popular papers were leading articles, reviews, and full length articles; only one short communication featured in the top 50 downloads. The papers most cited in subsequent publications were full length articles and leading articles or reviews, which represent 80% of the total citations of the 50 papers. Ten papers were in both the top 50 downloaded and most cited lists. We discuss the implications of this study for the journal and our readers.
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Affiliation(s)
- Peter A Brennan
- Maxillofacial Unit, Queen Alexandra Hospital, Portsmouth PO6 3LY, UK.
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Kayıran SM, Buyukunal C, Ince U, Gürakan B. Congenital epulis of the tongue: A case report and review of the literature. JRSM SHORT REPORTS 2011; 2:62. [PMID: 21847444 PMCID: PMC3147239 DOI: 10.1258/shorts.2011.011048] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/02/2022]
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Gulati A, Herd M, Blythe J, Habib A, Anand R, Brennan P. A synopsis of head and neck oncology and related papers published in the British Journal of Oral and Maxillofacial Surgery in 2009/10. Br J Oral Maxillofac Surg 2011; 49:368-75. [DOI: 10.1016/j.bjoms.2011.01.019] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2011] [Accepted: 01/26/2011] [Indexed: 11/16/2022]
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Jiang L, Hu B, Guo Q. Prenatal sonographic diagnosis of congenital epulis. JOURNAL OF CLINICAL ULTRASOUND : JCU 2011; 39:217-220. [PMID: 21480287 DOI: 10.1002/jcu.20765] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/01/2010] [Accepted: 09/20/2010] [Indexed: 05/30/2023]
Abstract
Congenital epulis is a benign gingival tumor that has rarely been diagnosed prenatally. We report a fetus with congenital epulis diagnosed by ultrasound at 37 weeks' gestation. The mass was diagnosed as originating from the inferior alveolar ridge prenatally. After birth, it was completely removed by simple excision under general anesthesia. Histologic examination revealed a congenital granular cell tumor.
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Affiliation(s)
- LiXin Jiang
- Department of Ultrasonography, Shanghai Jiaotong University Affiliated No. 6 Hospital, Yishan Road 600, Shanghai 200233, PR China
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Obstructive congenital epulis. Eur Ann Otorhinolaryngol Head Neck Dis 2010; 127:86-9. [DOI: 10.1016/j.anorl.2010.03.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2009] [Accepted: 01/24/2010] [Indexed: 11/21/2022]
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Brennan P, Mitchell D, Walker T, Cascarini L, Oeppen R. Short communication articles published in BJOMS during 2008–2009—an analysis of types of submission and subject material. Br J Oral Maxillofac Surg 2010; 48:167-72. [DOI: 10.1016/j.bjoms.2010.01.008] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2010] [Accepted: 01/17/2010] [Indexed: 12/19/2022]
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[Antenatal diagnosis of a congenital granular cell tumor]. ACTA ACUST UNITED AC 2010; 111:91-3. [PMID: 20074764 DOI: 10.1016/j.stomax.2009.07.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2009] [Revised: 06/26/2009] [Accepted: 07/06/2009] [Indexed: 11/30/2022]
Abstract
INTRODUCTION Neuman's tumors also called congenital epulis or congenital gingival granulomatous tumors are rare and benign oral cavity tumors. They are usually discovered at birth. CASE REPORT A 32 year-old pregnant female patient was followed for gravid diabetes well controlled. A maxillary tumor in the fetus was revealed by the third trimester US. A fetal MRI was prescribed, after discussion with the antenatal diagnostic center, to determine the localization, size, and nature of the tumor. It revealed a 3 cm long tumor with cystic like areas not communicating with the encephalus. A caesarian section was performed 2 weeks before term. A simple tumoral excision was performed at 12 hours of age. Histological analysis confirmed the diagnosis. There was no local recurrence after 6 months of follow-up. DISCUSSION A prenatal diagnosis of congenital gingival granulomatous tumor is rare. It is usually made at the third trimester ultrasound scan, rarely with fetal MRI. Nevertheless, prenatal diagnosis allows for a better postnatal management.
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