Abstract
IntroductionCongenital oral granular cell tumour of the newborn is an uncommon benign tumour of uncertain origin. The typical clinical appearance is of a single nodule occurring on the anterior maxillary ridge. In 10% of cases there are multiple lesions. The occurrence of congenital epulis in non-Caucasians is rare.Case presentationTwo firm pedunculated nodular lesions were noticed in the mouth of a 3-day-old black female: one on the anterior maxillary ridge and the other further posteriorly in the midline of the palate. Both lesions were excised when the baby was nine days old. Microscopic examination of the lesions showed densely packed round to oval cells with abundant granular eosinophilic cytoplasm and uniform nuclei. The diagnosis was congenital granular cell tumour.ConclusionCongenital oral granular cell tumour occurs almost exclusively in Caucasian newborns but also rarely in black infants. The parents should be assured of the benign nature and the simple treatment of the condition.
Highlights
Congenital oral granular cell tumour of the newborn is an uncommon benign tumour of uncertain origin
Epulis is a non-specific term connoting a tumour-like mass of the gingiva and the term is used in association with several different gingival lesions, regardless of their aetiology or histogenesis [1]
Since a lesion identical to congenital epulis may occur on the tongue, the term congenital epulis should be discontinued and the term congenital granular cell tumour be used instead [2,3]
Summary
Congenital oral granular cell tumour of the newborn is an uncommon benign tumour of uncertain origin. Conclusion: Congenital oral granular cell tumour occurs almost exclusively in Caucasian newborns and rarely in black infants. Congenital epulis is an uncommon benign gingival tumour of the newborn. Epulis is a non-specific term connoting a tumour-like mass of the gingiva and the term is used in association with several different gingival lesions, regardless of their aetiology or histogenesis [1].
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