RT Journal Article SR Electronic T1 Congenital granular cell epulis: a rare paediatric tumour of newborn JF BMJ Case Reports JO BMJ Case Reports FD BMJ Publishing Group Ltd SP e244326 DO 10.1136/bcr-2021-244326 VO 15 IS 1 A1 Arun Mamachan Xavier A1 Mahija Janardhanan A1 Ravi Veeraraghavan A1 Balagopal R Varma YR 2022 UL http://casereports.bmj.com/content/15/1/e244326.abstract 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.