Congenital epulis: a rare benign tumor in the newborn

Congenital epulis (CE) of the newborn is a rare benign soft tissue tumor that presents at birth. It occurs usually as a single mass with various sizes, although some multiple lesions have also been reported. The lesion is more common in female neonates and normally affects the maxillary alveolar rid...

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Bibliographic Details
Published in:Journal of the Indian Society of Pedodontics and Preventive Dentistry 2010-07, Vol.28 (3), p.230-233
Main Authors: Diniz, M B, Giro Elisa, M A, Zuanon Angela, C C, Costa, C A, Hebling, J
Format: Article
Language:English
Subjects:
Airway management
Benign tumor
congenital epulis
Dentistry
excisional biopsy
Female
Genetic disorders
Gingival Neoplasms - congenital
Gingival Neoplasms - pathology
Gingival Neoplasms - surgery
Humans
Infant
Infants (Newborn)
Maxilla
Medical treatment
newborn
Tumors
Watchful Waiting
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Summary:Congenital epulis (CE) of the newborn is a rare benign soft tissue tumor that presents at birth. It occurs usually as a single mass with various sizes, although some multiple lesions have also been reported. The lesion is more common in female neonates and normally affects the maxillary alveolar ridge. Rare recurrence and no malignant alteration have also been reported. This condition may interfere with respiration, feeding or adequate closure of the mouth. A decisive diagnosis is made by histopathologic analysis as other newborn lesions can be incorrectly diagnosed as CE. This article presents a case report of a female infant who presented a fibrotic mass in the primary lateral incisor and canine region of the maxillary alveolar ridge. The lesion was not causing feeding or respiratory problems. After a watchful waiting procedure and no spontaneous regression, the lesion was excised under local anesthesia and confirmed by histopathologic analysis as CE.
ISSN:0970-4388
1998-3905
DOI:10.4103/0970-4388.73787