Congenital Epulis of the newborn in Bayelsa State, South-South Nigeria and the decision for 'watchful waiting': A case report.

Davids KI1*, Mariere UI1, Daramola SA2
1Department of Community Medicine & Public Health, Federal Medical Centre, Yenagoa, Bayelsa State, Nigeria.
2Department of Dentistry, Federal Medical Centre, Yenagoa, Bayelsa State, Nigeria.
*Correspondence: Dr. Davids Kellybest Ibasimama; 08063263545; kelbestdav@yahoo.com

Download full article in pdf format

Abstract

Introduction: Congenital Epulis of the Newborn is rare non-neoplastic tumour which has a female predilection. Its ae ology is unknown.
Case Presentation: We report a maxillary alveolar ridge variety of this tumour in a two-week old female neonate whose case is the first documented in Bayelsa state, South-South Nigeria. A discretionary decision to adopt ‘watchful waiting’ in its management was taken.
Conclusion: Congenital Epulis of the new-born is still common among females and depending on its size may interfere with feeding. There is risk of recurrence of incompletely excised tumour and a possibility of regression with small sized tumours. Monitoring of tumour size should be done.

Keywords: Congenital Epulis, Non-neoplastic, Watchful waiting, Regression.

Cite this article: Davids KI, Mariere UI, Daramola SA. Congenital Epulis of the newborn in Bayelsa State, South-South Nigeria and the decision for ‘watchful waiting’: A case report. Yen Med J. 2019;1(1):52-55.

REFERENCES

  1. Kumar RM, Bavle RM, Umashankar DN, Sharma R. Congenital Epulis of the newborn. J Oral Maxillofac Pathol. 2015;19(3):407–410.
  2. Chattopadhyay A, Petra P, Kumar Oral tumours in newborn. Indian J Paed. 2003;70(7):587–588.
  3. Neumann E. Ein fall vin congenitale epulis. Arch Heilkd. 1871;12:189–190.
  4. McGuire TP, Gomes PP, Freilich MM, Sándor Congenital Epulis: A surprise in the neonate. J Can Dental Assoc. 2006;72(8):747–750.
  5. Omisakin Congenital epulis: A report of two cases and review of literature. Int J Med Biomed Res. 2016;5(3):130–134.
  6. Feller L, Wood NH, Singh AS, Raubenheimer EJ, Meyerov R, Lemmer J. Multiple congenital oral granular cell tumours in a newborn black female: a case report. Cases J. 2008;1(1):13.
  7. Roy AS, Williams Congenital epulis: Prenatal imaging with MRI and ultrasound. Paedtr Radiol. 2003;33(11):800–803.
  8. Messina M, Severi FM, Buonocore G, Molinaro F, Amato G, Petraglia F. Prenatal diagnosis and multidisciplinary approach to the congenital gingival granular cell tumor. J Pediatr Surg. 2006;41(10):E35-E38.
  9. Leocata P, Bifaretti G, Saltarelli S, Corbacelli A, Ventura L. Congenital (granular cell) epulis of the newborn: A case report with immunohistochemical study on the histogenesis. Ann Saudi Med. 1999;19(6):527-529.
  10. McMahon MG, Mintz In utero diagnosis of a congenital gingival granular cell tumor and immediate postnatal surgical management. J Oral Maxillofac Surg. 1994; 2(5):496–498.
  11. Delaire J, Tessier P, Tulasne Clinical and radiologic aspects of maxillonasal dysostosis (Binder syndrome). Head Neck Surg. 1980;3(2):105–122.
  12. Fuhr AH, Krogh Congenital epulis of the newborn: centennial view of the literature. J Oral Surg. 1972;30(1):30–35.
  13. Lack EE, Worsham GF, Callihan MD, Crawford BE, Gingival granular cell tumor of the newborn (congenital “epulis”). Am J Surg Pathol. 1981;5(1):37–46.
  14. Ritwik P, Brannon RB, Musselman RJ. Spontaneous regression of congenital epulis: a case report and review of the literature. J Med Case Rep. 2010;4:331.
  15. Childers EL, Fanburg-Smith JC. Congenital epulis of the newborn: 10 new cases of a rare oral tumor. Ann Diagn Pathol. 2011;15(3):157-161.
  16. Jenkins HR, Hill CM. Spontaneous regression of congenital epulis of the newborn. Arch Dis Child. 1989;64(1):145-147.
× Chat