Yenidoğan döneminin nadir bir tümörü: Epulis

Amaç: Bu yazı ile bir olgu nedeniyle epulisin tanı ve tedavisi konusunda farklı yaklaşımların sunulması amaçlanmıştır. Olgu Sunumu: Yenidoğan kız çocuğu, solunum ve beslenmesini engelleyen maksiller alveoler kitlelerinin değerlendirilmesi için kliniğimize gönderildi. Üst çenede incisor ve canin dişlere uyan alanda 1.5 x 1.5 cm ve 0.5 x 0.5 cm'lik mukoz membranla kaplı iki tümöral kitle mevcut idi. Her iki tümör genel anestezi şartlarında eksize edildi. Hasta postoperatif 2. günde oral beslenme alarak taburcu edildi. Tümörlerin patolojik incelemesi epulis olarak değerlendirildi. Postoperatif bir yıllık geç kontrollerde nükse rastlanmadı. Sonuç: Epulis benign bir tümör olup yerleşimi solunum ve beslenme gibi hayati fonksiyonları etkileyen için eksizyon gerekli iken diğerleri spontan regresyon açısından beklenebilir.

A rare tumor of the newborn : Epulis

A rare tumor of the newborn: Epulis Objective: Aim of this study was to present different concept on diagnosis and treatment of the epulis with a case. Case report: A newborn female infant was referred to our clinic for investigation of the gingival masses, which were obstructing feeding and respiration. There were two tumors on the upper jaw incisor and canin region, round 1.5 x 1.5 cm and 0.5 x 0.5 cm in diameter and covered by mucous membrane. Both of the tumors were excised under general anesthesia. The patient was discharged 2nd postoperative day receiving oral feedings. Pathologic evaluation of the tumor was "epulis". Conclusion: There was no relapse postoperative one year follow-up. Epulis is a benign tumor, surgical excision is necessary for the placement of preventing vital functions such as respiration and feeding, but it can be wanted for other localizations.

___

  • Tucker M, Rusnock J, Azumi NR, Hoy G, Lack EE. Gingival granular cell tumors of the newborn. An ultrastructural and immunohistochemical study. Arch Pathol Lab Med 1990;114:895-8.
  • Tokar B, Boneval C, Mirapoğlu S, Tetikkurt S, Aksöyek S, Salman T, et al. Congenital granular-cell tumor of the gingival: Case report. Pediatr Surg Int 1998;13:594-6.
  • Lack EE, Worsham GF, Callihan MD, Crawford BE, Vawter GF. Gingival granular cell tumors of the newborn ( congenital ‘epulis’). A clinical and pathologic study of 21 patients. Am J Surg Pathol 1981;5:37-46.
  • Zarbo RC, Lloyd RV, Beals TF, McClatchey KD, Arbor A. Congenital gingival granular cell tumor with smooth muscle cytodifferentation. Oral Surg 1983;56:512-20.
  • Jenkins HR, Hill CM. Spontaneous regression of congenital epulis of the newborn. Arch Dis Child 1989 64:145 –147.
  • Lamey PJ, Rennie JS, James J. Multiple granular cell tumors of palate. Int J Oral Maxillofac Surg 1987;16:236-8.
  • Yavuzer R, Ataoglu O, Sari A. Multiple congenital epulis of the alveolar ridge and tongue. Ann Plast Surg 2001;47:199-202
  • Stewart MC, Ronald E, Watson, Eversole LR, Fishlschweiger W, Leider AS. Oral granular cell tumors: A clinicopathologic and immunocytochemical study. Oral Med Oral Pathol 1988;65:427-35.
  • Armin A, Connelly EM, Rowden G. An immunoperoxsidase investigation of S-100 protein in granular cell myoblastomas. Evidence for Schwann cell derivation.. Am J Clin Pathol 1983;79:37-44.
  • Akoz T, Erdogan B, Gorgu M. Obstructive congenital epulis of the newborn. Plast Reconstr Surg 1997;99:922-3.
  • Eppley BL, Sadove AM, Campbell A. Obstructive congenital epulis in a newborn. Ann Plast Surg 1991;27:152-5.
  • Bakhmudov BR, Shakhnazarov AM. Congenital myoblastoma (A clinical case). Stomatologia 1995;74:41-2.