Granular cell tumor (Epulis): Simple excision is the treatment of choice

Abstract

Background: Epulis, which is also called granular cell tumor (GCT), is a rare tumor of the newborn. Aims and Objectives: to evaluate the outcome of surgical management of (GCT) and the efficacy of simple excision in neonates at our centers. Materials and Methods: We reviewed the medical records of 10 patients who had simple excision for granular cell tumor (GCT) in the period from 2006 to 2019. Result: This report describes 10 patients with GCT. All were newborns (nine females and one male). They presented with a mass of variable size protruding from the mouth and in five this interfered with feeding. In 7 patients, the mass was solitary, but three had two lesions. One had two masses arising from the maxillary alveolar ridge; one had two masses one arising from the maxillary alveolar ridge, while the other arising from the mandibular alveolar ridge and the third had two masses arising from the mandibular alveolar ridge. All were treated surgically with simple excision which was curative and on a mean follow-up of 3 years (10 months–6 years); there was no noticeable defect in the gum. Conclusion: Simple excision is the treatment of choice of epulis. It is simple, safe, and curative.