Congenital granular cell tumor (congenital epulis) in the fetus: a case report

Congenital Epulis of the Newborn: A Case Report and Literature Review

Congenital epulis is a rare benign lesion of new-born and occurs mostly as a single tumor. A new-born infant with congenital epulis is a striking sight for both parents and health care professionals involved in neonatal care. The tumor has a female predilection with the female to male ratio being 10:1. These tumors in the infant's mouth are remarkably large, occupying much of the oral cavity and posing a risk of airway obstruction and it can interfere with the feeding. Although the clinical presentation of the congenital tumor is rather distressing, owing to its size and aggressive appearance, it is very much necessary that the attending pediatricians, pediatric surgeon be cognizant of the nature of this rare yet benign congenital tumor. The purpose of this article is to present a case report documenting the clinical presentation and management of Congenital Epulis on the anterior maxillary alveolus in a three-day old female patient.

Prenatal Sonographic Diagnosis of Congenital Epulis

Sonographic prenatal diagnosis of congenital anomalies has been proven to be an invaluable tool in the management of pregnancy, delivery, and postnatal treatment of affected newborns. Congenital gingival granular cell tumor, or epulis, is a rare intraoral tumor that may cause polyhydramnios and possibly severe respiratory and feeding complications at birth. Sonographic diagnosis of this tumor provides the opportunity to plan the mode of delivery, the presence of support teams to assist in airway maintenance, and surgical correction.

Congenital Granular Cell Tumor (Epulis)

A newborn girl with histologically confirmed epulis presented with a 2.6-cm mass protruding from her mouth. An ultrasound study performed in antenatal week 25 was unremarkable. Postnatal ultrasound showed a mass, hyperechoic centrally, hypoechoic peripherally, containing crowded branching vessels. MRI revealed a nonenhancing gingival mass exhibiting an isointense rim on T1-weighted imaging and a low-intensity rim on T2-weighted sequences. MRI better defined its gingival origin and lack of local extension. A gingival solid mass in a newborn with branching vessels and a peripheral rim on imaging may suggest congenital epulis.

Anaesthetic management of the newborn with multiple congenital epulides

Epulis of the newborn is a granular cell tumour that originates from the dental alveolar mucosa. We report a case of a neonate with multiple congenital masses of the alveolar mucosa who presented for surgery with a potential airway problem. Intubation was achieved uneventfully using a gaseous induction with a large facemask and displacement of the epulides to allow cautious laryngoscopy.

Congenital epulis of the newborn: a case report

This paper describes the case of a day old baby who was admitted to hospital because of the presence of a large intraoral swelling that was preventing her from breast feeding. Clinical examination showed a firm, pedunculated, lobulated nodule protruding from the mouth and attached to the maxillary alveolus to the left of the midline. The mucosa was normal in appearance. The growth was excised under local anaesthesia and showed a histological appearance consistent with a congenital epulis of the newborn. Healing was complete and no recurrence was seen at review after two weeks. Conservative treatment of congenital epulis is often sufficient but in this case, the nodule prevented feeding. Excision was incomplete but, as in other cases treated in the same way, there has been no obvious tendency to recur.

Prenatal diagnosis of congenital epulis: a case report

Congenital epulis or congenital granular cell tumor, is a benign tumor that has rarely been diagnosed prenatally. We report a case of a large congenital epulis diagnosed at 26 weeks of gestation that increased in size during gestation. Color and power Doppler ultrasound examination showed marked blood flow in the tumor. The tumor could be resected completely following Cesarean section and histologically examined. We discuss the prenatal diagnosis and histogenesis of congenital epulis.