PT - JOURNAL ARTICLE AU - Arun Mamachan Xavier AU - Mahija Janardhanan AU - Ravi Veeraraghavan AU - Balagopal R Varma TI - Congenital granular cell epulis: a rare paediatric tumour of newborn AID - 10.1136/bcr-2021-244326 DP - 2022 Jan 01 TA - BMJ Case Reports PG - e244326 VI - 15 IP - 1 4099 - http://casereports.bmj.com/content/15/1/e244326.short 4100 - http://casereports.bmj.com/content/15/1/e244326.full SO - BMJ Case Reports2022 Jan 01; 15 AB - 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.