NEONATAL GRANULAR CELL TUMOR—CASE REPORT

Abstract

Congenital epulis is a rare and benign lesion that affects the oral cavity. It is common in the alveolar ridge of the maxilla of newborns and its etiology, in addition to being uncertain, is controversial. A newborn White female patient delivered by caesarean after an uneventful pregnancy had 2 nodular sessile intraoral lesions in the alveolar edges of the maxilla and mandible, in the anterior region, with 1 in each quadrant. The 2 tumors measured approximately 30 mm in diameter each, were reddish in color and without painful symptoms on palpation. As treatment, an excisional biopsy was performed in the operating room and under general anesthesia. On histological examination, it was possible to observe round cells with abundant granular cytoplasm. The final diagnosis based on clinical and microscopic data was a congenital epulis. After a year of follow-up, the lesion did not recur, and the child developed normally. Congenital epulis is a rare and benign lesion that affects the oral cavity. It is common in the alveolar ridge of the maxilla of newborns and its etiology, in addition to being uncertain, is controversial. A newborn White female patient delivered by caesarean after an uneventful pregnancy had 2 nodular sessile intraoral lesions in the alveolar edges of the maxilla and mandible, in the anterior region, with 1 in each quadrant. The 2 tumors measured approximately 30 mm in diameter each, were reddish in color and without painful symptoms on palpation. As treatment, an excisional biopsy was performed in the operating room and under general anesthesia. On histological examination, it was possible to observe round cells with abundant granular cytoplasm. The final diagnosis based on clinical and microscopic data was a congenital epulis. After a year of follow-up, the lesion did not recur, and the child developed normally.