Yenidoğanda İntraoral Kitlenin Nadir Bir Sebebi: Konjenital Epulis

Konjenital epulis, yenidoğanın granüler hücreli tümörü veya Neumann's tümörü olarak da bilinen, yenidoğanın çenesinde görülen nadir konjenital bir tümördür. 10:1 oranında kızlarda daha sık görülür. Lezyon benign karakterdedir. Rekürrens veya metastaz rapor edilmemiştir. Olgumuzda konjenital epulis maksillar alveolar çıkıntının kesici diş bölgesinde yer almıştır. Prenatal takiplerinde problem olmayan ancak doğumda ağız içerisinde kitle sebebiyle başvuran hastada nadir görülen konjenital epulis tanısı konuldu. Lezyon beslenmeye engel olduğu için genel anestezi altında çıkarıldı. İntraoperatif ve postoperatif takiplerinde problem yaşanmadı. Takip eden üç ayda rekürrens görülmedi.

A Rare Cause of the Intraoral Mass in a Newborn Infant: Congenital Epulis

Congenital epulis, also known as granular cell tumor of the newborn or Neumann's tumor, is a rare congenital tumor affecting the gingival mucosa of neonates. It occurs more often in female population with the ratio of 10:1. These lesions behave in a benign manner. No recurrence or metastasis have been reported. The present case had congenital epulis in the incisor region of maxillary alveolar ridge. The patient had no problem at prenatal follow-up, but applied to the clinic with a mass in the mouth at birth and diagnosed as with congenital epulis. Since this lesion interferes with nourishment, it was excised under general anaesthesia. There was no problem at intraoperative and postoperative course. No recurrence was seen in the following 3 months.

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  • Reinshagen K, Wessel LM, Roth H, Waag KL. Congenital epulis: a rare diagnosis in paediatric surgery. Eur J Pediatr Surg 2002;12:124-6.
  • Singh M, Rattan KN, Rani B. Congenital epulis: a rare benign jaw tumor of newborn. J Neonatal Surg 2012;1:31.
  • Inan M, Yalcin O, Pul M. Congenital fibrous epulis in the infant. Yonsei Med J 2002;43:675-7.
  • Bosanquet D, Roblin G. Congenital epulis: a case report and estimation of incidence. Int J Otolaryngol 2009;2009:508780.
  • Ozturk A, Gunay GK, Akin MA, Arslan F, Tekelioglu F, Coban D. Multiple intraoral teratoma in a newborn infant: epignathus. Fetal Pediatr Pathol 2012;31:210-6.
  • Lapid O, Shaco-Levy R, Krieger Y, Kachko L, Sagi A. Congenital epulis. Pediatrics 2001;107:E22.
  • Lopez de Lacalle JM, Aguirre I, Irizabal JC, Nogues A. Congenital epulis: prenatal diagnosis by ultrasound. Pediatr Radiol 2001;31:453-4.
  • Narasimhan K, Arneja JS, Rabah R. Treatment of congenital epulis (granular cell tumour) with excision and gingivoperiosteoplasty. Can J Plast Surg 2007;15:215-8.
  • Millard DR Jr, Latham RA. Improved primary surgical and dental treatment of clefts. Plast Reconstr Surg 1990;86:856-71.