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Congenital epulides: a rare case report.

Saurabh Kumar1, Chaya Prasad, Meera Thomas

  • 1Department of Dental and Oral Surgery, Christian Medical College and Hospital, Vellore, Tamil Nadu, India.

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This report details a rare case of two congenital epulides in a newborn, successfully treated with surgical excision. Early intervention enabled the infant to begin breastfeeding, highlighting effective management of this benign oral tumor.

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Area of Science:

  • Oral pathology
  • Pediatric surgery

Background:

  • Congenital epulis (CE), also known as granular cell epulis or Neumann's tumor, is a rare benign oral tumor in newborns.
  • Typically presenting as a single mass on the upper alveolar ridge, CE can impede infant respiration and feeding.

Observation:

  • This case presents a rare instance of two congenital epulides originating from both the maxillary and mandibular alveoli in a day-old female infant.
  • The tumors were surgically excised shortly after birth.

Findings:

  • Histopathological examination revealed the tumor cells stained negative for S100 protein, aiding in differentiation from other granular cell tumors.
  • The surgical removal of both epulides was successful.

Implications:

  • This case underscores the importance of prompt diagnosis and surgical management of congenital epulis.
  • Successful excision facilitated early breastfeeding, demonstrating a positive outcome for the infant's nutrition and development.