Congenital Epulis of the Newborn: A Case Report

Abstract

Background: Congenital epulis (CE) also known as congenital granuler cell tumor is a rarely encountered pathology the majority of which originates from the gingival mucosa, particularly the anterior portion of the maxillary alveolar ridge. CE mostly seen in girls. CE with unclear histogenesis and etiology is seen at birth as a solitary mass in oral cavity. Apart from non-congenital epulis, it contains granular cells. So lesion is named congenital granular cell tumor. CE has a benign histopathology and after surgery there is no recurrence reported in the literature. Aim: The purpose of this case report, is to present, 5 day-old female neonatal girl who was seen CE on the left maxillary alveolar ridge on the region of the future incisors. Case Presentation: The tumoral lesion was well-circumscribed and 10 mm in diameter, smooth surfaced and red in colour much like alveolar mucosal tissue. Tumoral lesion was affecting oral feeding due to obstruction. Excisional biopsy was performed under topical anesthesia. The histopathology was reported as congenital epulis. During the 4 months follow-up, we have seen no complication. Conclusion: CE is a neonatal congenital tumor which is very rare. The treatment of CE is surgical excision. Unless the early treatment is not executed, tumor may cause difficulties in oral feeding and respiration. Therefore it should be excised in an early period.

Prescription Profile of Antibiotic Drugs Post Excision Biopsy of Oral Soft Tissue Disease in Palembang

“…Epulis is a benign tumor lesion which is generally caused by hormonal factors, oral hygiene, irritation, and physical trauma. 32,33,38,44,47 Several types of epulis can occur at any age.…”

Prescription Profile of Antibiotic Drugs Post Excision Biopsy of Oral Soft Tissue Disease in Palembang

“…Epulis is a benign tumor lesion which is generally caused by hormonal factors, oral hygiene, irritation, and physical trauma. 32,33,38,44,47 Several types of epulis can occur at any age. 38,41 Based on the results of the Ministry of Health of the Republic of Indonesia (RIKESDAS) in 2018, the proportion of dental and oral health problems in the province of South Sumatra is still relatively large, namely around 50% of the population.…”

Congenital epulis in a female newborn

“…In most cases of congenital epulis, only one lesion is present; however, in some cases, multiple lesions may occur. Although spontaneous regression has been documented in a few cases, these lesions are quite small, and the treatment of choice is surgical excision [8]. Multiple theories have been presented regarding the causes of congenital epulis; however, the etiology is still ambiguous.…”