Abstract

Background: Congenital epulis is a rare benign, smooth, sessile, or pedunculated, solitary mass of varying sizes commonly occurring at the anterior alveolar ridge of the maxilla. It can occur as a solitary as well as a multifocal lesion. Case Presentation: Case 1: A two-day-old female newborn presented with a single round, smooth, pedunculated mass measuring 3x2x2cm on the anterior alveolar ridge of the maxilla. Complete excision of the mass was done under general anesthesia. Histopathology confirms congenital epulis. No recurrence was found till one year of follow-up. Case 2: A one-day-old female newborn presented with a 3x4x3cm soft to firm mass arising from the right upper alveolar margin attached with a stalk and extending into the mouth without any respiratory difficulty. Complete excision of the mass was done under general anesthesia. Follow-up for one year showed no recurrence.

Highlights

  • Congenital Epulis (CE), Neumans Tumor, Congenital Granular cell tumor (CGCT), Granular cell fibroblastoma, congenital granular cell myoblastoma, and congenital gingival granular cell tumor are different eponyms for this rare congenital benign tumor of a newborn

  • Congenital epulis is a rare benign lesion most commonly arising from the anterior alveolar ridge of the maxilla without the involvement of bone or teeth

  • Complete surgical excision is the treatment of choice without any reported recurrence

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Summary

Conclusion

Congenital epulis is a rare benign lesion most commonly arising from the anterior alveolar ridge of the maxilla without the involvement of bone or teeth.

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