Congenital epulis of the newborn; A case report.

Autor:	Abera KA; Department of Anatomic Pathology, College of Medicine and Health Sciences, University of Gondar, Maraki 196, Gondar, Ethiopia. Electronic address: addisukirubel@gmail.com., Yefter ET; Department of Anatomic Pathology, College of Medicine and Health Sciences, University of Gondar, Maraki 196, Gondar, Ethiopia., Alemayehu KA; Department of Anatomic Pathology, College of Medicine and Health Sciences, University of Gondar, Maraki 196, Gondar, Ethiopia., Zegeye KB; Department of Anatomic Pathology, College of Medicine and Health Sciences, University of Gondar, Maraki 196, Gondar, Ethiopia., Tadesse AK; Department of Anatomic Pathology, College of Medicine and Health Sciences, University of Gondar, Maraki 196, Gondar, Ethiopia., Workneh ZA; Department of maxillofacial surgery, College of Medicine and Health Sciences, University of Gondar, Maraki 196, Gondar, Ethiopia.
Jazyk:	angličtina
Zdroj:	International journal of surgery case reports [Int J Surg Case Rep] 2024 Sep; Vol. 122, pp. 110085. Date of Electronic Publication: 2024 Jul 27.
DOI:	10.1016/j.ijscr.2024.110085
Abstrakt:	Introduction: Congenital epulis, also known as Neumann's tumor, is an uncommon benign tumor of the oral mucosa that occurs in newborns. It is a rare condition, with fewer than 250 reported cases worldwide. The exact cause or underlying mechanism of this tumor is still not well understood. Case Presentation: We present a three-day-old male neonate who presented with a swelling on the gingiva that had been present since birth. The infant did not encounter any difficulties with feeding or breathing. The patient had a single, round, pink swelling measuring 2 × 2 × 1 cm on the right maxillary alveolar ridge. The swelling was surgically removed under general anesthesia. Microscopic examination revealed large polygonal cells with abundant granular cytoplasm, centrally located nuclei indicating a diagnosis of congenital epulis. Clinical Discussion: Clinical manifestation could vary from no symptoms to feeding difficulty and rarely airway obstruction. It usually tends to grow on anterior alveolar ridge of the newborns, more on the maxilla than on the mandible. Confirmation of the diagnosis is by histopathology, which commonly shows proliferation of polygonal round cells with eosinophilic granular cytoplasm and round central nucleus. Congenital epulis can be approached using different management techniques depending on the size, site of the tumor, and presenting symptoms of the newborns. Conclusion: Congenital epulis is rare, but it has to be considered as a differential diagnosis for gingival swelling among neonates. Competing Interests: Conflict of interest statement The authors declare that they have no competing interests. (Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze:	MEDLINE
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