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Congenital giant epulis obstructing oral cavity: newborn emergency.

Gnassingbe K, Mihluedo-Agbolan KA, Bissa H, Amegbor K, Noumedem NB, Egbohou P, Mama W, Akakpo-Numado GK, Tekou H - Pan Afr Med J (2014)

Bottom Line: The congenital epulis is a benign congenital granular cell tumor arising most often of the alveolar ridge of the jawbone.When giant, it is source of digestive discomfort disabling feeding.The histology of the tumor was revealed that it was an epulis.

View Article: PubMed Central - PubMed

Affiliation: Pediatric Surgery Department Sylvanus Olympio Teaching Hospital, Lomé, Togo.

ABSTRACT
The congenital epulis is a benign congenital granular cell tumor arising most often of the alveolar ridge of the jawbone. When giant, it is source of digestive discomfort disabling feeding. We report the case of a newborn female, vaginal delivery, presented with a giant intraoral tumor. Tumor obstructing the mouth of the newborn and prevent the attachment and feeding. The treatment consisted of excision of the tumor under general anesthesia. The histology of the tumor was revealed that it was an epulis.

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Appearance of the tumor after its removal
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Figure 0004: Appearance of the tumor after its removal

Mentions: Newborn female on the first day of extra uterine life referred in March 8th, 2013 from the maternity of Sylvanus Olympio Teaching Hospital to surgical emergencies of the same hospital for intraoral tumor. It was after a full-term pregnancy (37 weeks of amenorrhea), during which, no related-pregnancy pathology nor unrelated ones was discovered. There was no concept of taking foetal toxic drug by the mother. Obstetric ultrasonography at the 12th week of gestation had objectified no malformations. The delivery was done vaginally without incident in March 8, 2013 with an Apgar score of 10-10-10 and a weight of 3050 grams. Examination of the newborn at her admission noted an intraoral tumor pink, firm, pedunculated sitting in the gingival surface of upper left of the midline cleft (Figure 1, Figure 2) maxilla. The tumor measured 6 centimeters long axis and obstructed the entire oral cavity, thus preventing the taking of the womb and feed. The rest of the intraoral mucosa was normal. The newborn showed no respiratory disorder. There were no other clinically visible malformations. A peripheral vein was taken for an infusion of hypertonic glucose solution 10% to fight against possible hypoglycaemia. Surgical treatment was performed and consisted of tumor resection under general anesthesia. Figure 3 shows the immediate postoperative appearance. Histologically, the tumor was formed by a proliferation of tumor large, round or fusiform with abundant cytoplasm, and eosinophilic granular cells with a round nucleus. On the surface, the tumor was covered by squamous epithelium regular kind. Figure 4 shows the appearance of the tumor after its removal. Control of the child two weeks after surgery showed a healthy intraoral mucosa without tumor recurrence (Figure 5).


Congenital giant epulis obstructing oral cavity: newborn emergency.

Gnassingbe K, Mihluedo-Agbolan KA, Bissa H, Amegbor K, Noumedem NB, Egbohou P, Mama W, Akakpo-Numado GK, Tekou H - Pan Afr Med J (2014)

Appearance of the tumor after its removal
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4229004&req=5

Figure 0004: Appearance of the tumor after its removal
Mentions: Newborn female on the first day of extra uterine life referred in March 8th, 2013 from the maternity of Sylvanus Olympio Teaching Hospital to surgical emergencies of the same hospital for intraoral tumor. It was after a full-term pregnancy (37 weeks of amenorrhea), during which, no related-pregnancy pathology nor unrelated ones was discovered. There was no concept of taking foetal toxic drug by the mother. Obstetric ultrasonography at the 12th week of gestation had objectified no malformations. The delivery was done vaginally without incident in March 8, 2013 with an Apgar score of 10-10-10 and a weight of 3050 grams. Examination of the newborn at her admission noted an intraoral tumor pink, firm, pedunculated sitting in the gingival surface of upper left of the midline cleft (Figure 1, Figure 2) maxilla. The tumor measured 6 centimeters long axis and obstructed the entire oral cavity, thus preventing the taking of the womb and feed. The rest of the intraoral mucosa was normal. The newborn showed no respiratory disorder. There were no other clinically visible malformations. A peripheral vein was taken for an infusion of hypertonic glucose solution 10% to fight against possible hypoglycaemia. Surgical treatment was performed and consisted of tumor resection under general anesthesia. Figure 3 shows the immediate postoperative appearance. Histologically, the tumor was formed by a proliferation of tumor large, round or fusiform with abundant cytoplasm, and eosinophilic granular cells with a round nucleus. On the surface, the tumor was covered by squamous epithelium regular kind. Figure 4 shows the appearance of the tumor after its removal. Control of the child two weeks after surgery showed a healthy intraoral mucosa without tumor recurrence (Figure 5).

Bottom Line: The congenital epulis is a benign congenital granular cell tumor arising most often of the alveolar ridge of the jawbone.When giant, it is source of digestive discomfort disabling feeding.The histology of the tumor was revealed that it was an epulis.

View Article: PubMed Central - PubMed

Affiliation: Pediatric Surgery Department Sylvanus Olympio Teaching Hospital, Lomé, Togo.

ABSTRACT
The congenital epulis is a benign congenital granular cell tumor arising most often of the alveolar ridge of the jawbone. When giant, it is source of digestive discomfort disabling feeding. We report the case of a newborn female, vaginal delivery, presented with a giant intraoral tumor. Tumor obstructing the mouth of the newborn and prevent the attachment and feeding. The treatment consisted of excision of the tumor under general anesthesia. The histology of the tumor was revealed that it was an epulis.

Show MeSH
Related in: MedlinePlus