Extensive congenital epulis in a newborn: diagnosis and treatment of a rare lesion
DOI:
https://doi.org/10.33448/rsd-v10i2.12324Keywords:
Epulis; Hemangioma; Ultrasonography.Abstract
Congenital epulis is a rare benign tumor that affects the oral mucosa of newborns. Despite being benign, this lesion can reach an extensive dimension and impair the function of the maxillomandibular complex for both feeding and breathing, and should therefore be diagnosed as early as possible to perform its excision. This article aims to report a case of diagnosis and treatment of a newborn with large congenital epulis. Patient M.C.A., leucoderma, 2.7 kg, female and normorreative, presented in the physical examination of the immediate postnatal period, a nodular, smooth, non-ulcerated and pediculated lesion with 40 millimeters in its largest diameter, located in the buccal alveolar mucosa of right jaw. With the multiprofessional integration between the pediatric, radiological and buccomaxillofacial medical team, computed tomography and doppler ultrasonography exams were requested and evaluated to assess the blood flow of the lesion and definitive exclusion of the differential diagnosis of hemangioma. The excision procedure was performed under general anesthesia, when the patient was eleven days old, uneventful and the anatomical specimen was stored for histopathological and immunohistochemical evaluation, which confirmed the clinical diagnosis of congenital epulis. The patient showed immediate nutritional recovery and progressed satisfactorily. The congenital epulis, being a rare condition, ends up being underdiagnosed and confused with vascular lesions, therefore, the multiprofessional approach directs the diagnosis and treatment in an appropriate way.
References
Cheung, J. M., & Putra, J. (2020). Congenital Granular Cell Epulis: Classic Presentation and Its Differential Diagnosis. Head Neck Pathol, 14(1), 208-211. doi:10.1007/s12105-019-01025-1
de Paulo, L. F. B., da Cruz Perez, D. E., Rosa, R. R., & Durighetto Junior, A. F. (2013). Multiple congenital epulis: A case report with spontaneous regression. International Journal of Pediatric Otorhinolaryngology Extra, 8(3), 99-101. doi:https://doi.org/10.1016/j.pedex.2013.06.003
Elías Podestá, M., Cóndor Astucuri, J., García Gutiérrez, M., Arellano Sacramento, C., & Elías Díaz, P. (2017). Épulis del recién nacido %J Pediatría Atención Primaria. 19, 275-278.
Gómez, A., Carazo, M., Ballester, J., & Sempere, V. (2019). Épulis congénito gigante: importancia del diagnóstico prenatal. Anales de Pediatría, 93. doi:10.1016/j.anpedi.2019.06.008
Jain, N., Sinha, P., & Singh, L. (2020). Large Congenital Epulis in a Newborn: Diagnosis and Management. Ear Nose Throat J, 99(7), Np79-np81. doi:10.1177/0145561319851498
Johnson, K. M., Shainker, S. A., Estroff, J. A., & Ralston, S. J. J. J. o. U. i. M. (2017). Prenatal Diagnosis of Congenital Epulis: Implications for Delivery. 36(2), 449-451.
Kokubun, K., Matsuzaka, K., Akashi, Y., Sumi, M., Nakajima, K., Murakami, S., . . . Inoue, T. (2018). Congenital Epulis: A Case and Review of the Literature. Bull Tokyo Dent Coll, 59(2), 127-132. doi:10.2209/tdcpublication.2017-0028
Lee, J.-M., Kim, U.-K., & Shin, S.-H. (2013). Multiple congenital epulis of the newborn: A case report and literature review. Journal of Pediatric Surgery Case Reports, 1(3), 32-33. doi:https://doi.org/10.1016/j.epsc.2013.03.002
Marinho, L. C. N., Santos, H. B. P., Morais, E. F., & Freitas, R. A. (2020). Benign neural lesions of the oral and maxillofacial complex: a 48-year-retrospective study %J Jornal Brasileiro de Patologia e Medicina Laboratorial. 56.
Rahman, N., Ismail, H., Mohamad, I., Yusof, S., & Mohamad, H. (2015). Congenital mandibular epulis – A rare oral lesion in a newborn. Egyptian Journal of Ear, Nose, Throat and Allied Sciences, 16, 295-298. doi:10.1016/j.ejenta.2015.07.003
Rodrigues, K. S., Barros, C. C. S., Rocha, O. K. M. S., Silva, L. A. B., Paies, M. B., & Miguel, M. C. C. (2019). Congenital granular cell epulis: case report and differential diagnosis %J Jornal Brasileiro de Patologia e Medicina Laboratorial. 55, 281-288.
Sasaki, R., Okamoto, T., Watanabe, Y., Kagawa, C., & Ando, T. (2018). Congenital Granular Cell Epulis. Plastic & Reconstructive Surgery Global Open, Latest Articles, 1. doi:10.1097/GOX.0000000000001989
Tiwari, C., Nagdeve, N., Saoji, R., Nama, N., & Joshi, S. (2020). Large Congenital Epulis: A Neonatal Tumour with Striking Appearance, but Simple Management. Fetal and Pediatric Pathology, 1-3. doi:10.1080/15513815.2020.1805532
Vinay, K. N., Anjulo, L. A., Nitin, P., Neha, K. V., & Dhara, D. (2017). Neumann's Tumor: A Case Report. Ethiopian journal of health sciences, 27(2), 189-192. doi:10.4314/ejhs.v27i2.11
Wong, D. K., Ramli, R., Muhaizan, W. M., & Primuharsa Putra, S. H. (2016). Congenital epulis: A rare benign tumour. Med J Malaysia, 71(5), 300-301.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Ciro Borges Duailibe de Deus; João Victor Uchôa Silva; André Hergesel de Oliva; Wellington José Alves Nunes; Roberta Okamoto
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
