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Congenital granular cell epulis: a rare paediatric tumour of newborn
Arun Mamachan Xavier1, Mahija Janardhanan2, Ravi Veeraraghavan3
1Department of Pediatric and Preventive Dentistry, Amrita Vishwa Vidyapeetham Amrita School of Dentistry, Kochi, Kerala, India arunmamachan@yahoo.co.in.
Insights
Congenital granular cell epulis is a rare neonatal gingival tumor that can cause feeding and breathing issues. Prompt surgical excision and histopathological diagnosis are crucial for infant well-being.
Area of Science:
- Pediatric Dentistry
- Oral Pathology
- Neonatal Care
Background:
- Congenital granular cell epulis is a rare, benign oral tumor occurring in neonates.
- These tumors can obstruct the infant's airway, impede feeding, and affect mouth closure.
Observation:
- A case report details a 35-day-old female neonate with a large, exophytic lesion on the maxillary alveolar ridge.
- The lesion presented significant challenges for the infant's feeding and respiration.
Findings:
- Surgical excision of the lesion was performed under intravenous sedation.
- Histopathological analysis confirmed the diagnosis of congenital granular cell epulis.
Implications:
- Early recognition and prompt surgical intervention are vital for preventing complications in neonates.
- Multidisciplinary collaboration among pediatricians, dentists, and pathologists is essential for optimal management.
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.
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