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Case report
Congenital granular cell epulis: a rare paediatric tumour of newborn
  1. Arun Mamachan Xavier1,
  2. Mahija Janardhanan2,
  3. Ravi Veeraraghavan3 and
  4. Balagopal R Varma1
  1. 1Department of Pediatric and Preventive Dentistry, Amrita Vishwa Vidyapeetham Amrita School of Dentistry, Kochi, Kerala, India
  2. 2Department of Oral Pathology & Microbiology, Amrita Vishwa Vidyapeetham Amrita School of Dentistry, Kochi, Kerala, India
  3. 3Department of Oral & Maxillofacial Surgery, Amrita Vishwa Vidyapeetham Amrita School of Dentistry, Kochi, Kerala, India
  1. Correspondence to Dr Arun Mamachan Xavier; arunmamachan{at}yahoo.co.in

Abstract

Congenital granular cell epulis is a congenital growth rarely found on the gingiva of neonates. These remarkably large tumours present in an infant’s mouth may impede with feeding, respiration or adequate mouth closure. Recognition of this entity and prompt treatment are essential for preventing any difficulties for the neonate. This is a case report of a 35-day-old female neonate who presented with a single exophytic lesion in the maxillary alveolar ridge. The differential diagnosis, management regimens and complications of this condition are reviewed. The lesion was excised under intravenous sedation and subjected to histopathological analysis. Based on the microscopic findings, the diagnosis of congenital granular cell epulis was confirmed. Clinicians including paediatricians, sonographers, dentists and surgical pathologists should be able to timely recognise and intervene such tumours as they may be potentially harmful to the infant.

  • dentistry and oral medicine
  • mouth
  • pathology

http://dx.doi.org/10.1136/bcr-2021-244326

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    Footnotes

    • Contributors AMX: Concept development, definition of intellectual content, surgical management, literature search, case diagnosis, manuscript preparation, editing and review; guarantor. MJ: Histopathological examination and investigation, case diagnosis, manuscript preparation, editing and review. RV: concept development, surgical management, manuscript preparation, editing and review. BRV: Concept development, manuscript preparation, editing and review.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.