Rare case of congenital granular cell tumor of mandibular alveolar ridge in the new born

Abstract

Epulis synonymous with congenital granular cell tumor (CGCT) of the new born is an unusual hamartomatous benign lesionarising from either the maxillary or mandibular alveolar ridge, the later being very rare. CGCT is a lesion of unknown histogenesiswith a strong predilection for the maxillary alveolar ridge of new born girls. Microscopically the tumor is composed of nests oftightly packed, homogeneous, medium to large sized cells with eosinophilic granular cytoplasm. This case report describes themanagement of the tumor in a one day old female child presenting with a mass on the mandibular alveolar ridge associated withdifficulty in breast feeding and inability to swallow the feed which was affecting her normal physical growth. Two modalitiesof treatment include conservative and surgical therapy. The lesion was managed by electrosurgical removal and the infant wasinitially followed up once a month for 3 months and there after every 6 months, for any post operative complications of whichnon were reported.