Presentation
We present the case of a female newborn, otherwise healthy, presenting with a giant swelling protruding from her mouth and originating from upper left alveolar ridge. [ncbi.nlm.nih.gov]
Entire Body System
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Soft Tissue Swelling
Indian J Pathol Microbiol 2009;52:436-7 A full-term normally delivered female child was referred to the department of pediatric surgery immediately after birth for a protruding, sessile soft tissue swelling from her mouth. [ijpmonline.org]
Hematological
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Prolonged Bleeding
Suture was necessary due to the prolonged bleeding time. Post-operative instructions were given to the mother's baby. After 1 week, the suture was removed and oral tissues presented normal post-surgical healing. [jisppd.com]
Respiratoric
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Respiratory Disorders
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. [panafrican-med-journal.com]
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Respiratory Insufficiency
In utero, obstruction of the oral cavity can result in ineffective swallowing and can cause polyhydramnios. [6] Postnatally, clinical manifestations depend on the size and location of the lesions and include respiratory insufficiency, difficulty in sucking [jcnonweb.com]
Gastrointestinal
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Failure to Thrive
Diagnosis and prompt intervention can prevent expected complications such as failure to thrive or respiratory difficulty. [ncbi.nlm.nih.gov]
Cardiovascular
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Cyanosis
Some other common clinical manifestations include dyspnea, cyanosis, cough, difficulty in sucking and swallowing and occasionally, vomiting.[ 15 ] Perinatal MRI of the oral cavity helps in differentiating congenital epulis from other masses of oral cavity [ncbi.nlm.nih.gov]
Psychiatrical
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Suggestibility
It is suggested that the natural history of the congenital epulis is one of regression, and no treatment is required unless the lesion causes feeding or respiratory problems. [ncbi.nlm.nih.gov]
Neurologic
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Agitation
Simple conservative surgical excision at the tumor base should be done to allay the parent agitation. Wide radical excision is not recommended. [jcnonweb.com]
Urogenital
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Amenorrhea
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. [panafrican-med-journal.com]
Treatment
Treatment of this lesion was surgical, and histopathological examination confirmed the clinical diagnosis of congenital epulis. [ncbi.nlm.nih.gov]
Prognosis
They have an excellent prognosis, if treated properly. This paper will discuss our experience with these 2 lesions and review the literature. [ncbi.nlm.nih.gov]
Significantly revised and updated content throughout this edition brings you the latest information on the etiology, clinical features, histopathology, treatment, and prognosis of each disease entity, as well as cutting-edge topics such as bisphosphonate [books.google.ro]
The prognosis is excellent with very rare recurrence [3]. :: References Figures [Figure - 1] [jpgmonline.com]
Etiology
The etiology and histogenesis of the lesion remain obscure. This lesion can pose a risk of airway obstruction or can interfere with feeding. The report presented here describes a case of congenital granular cell lesion in the left maxillary region. [ncbi.nlm.nih.gov]
[…] is unknown and there is still controversy regarding exact cell of origin. [1] An undifferentiated mesenchymal cell origin, fibroblastic and myoblastic, histiocytic, odontogenic, neurogenic, endothelial and endocrinologic etiologies had been proposed [jcnonweb.com]
Epidemiology
[…] common in patients with congenital epulis due to swallowing difficulties as a result of the size of the growth, but the mother did not attend antenatal clinics and gave birth at home. [5] CENB is very similar to GCT histologically, but differs from it epidemiologically [ijdr.in]
These epidemiological data show the rarity of this benign neoplasm, the most frequently diagnosed at birth with a female-male ratio of 8:1 9,10. [zdoc.site]
The aim of this study was to analyze the epidemiological, clinical and histological aspects of epulis of the newborn, by means of presentation of a clinical case report. [revodonto.bvsalud.org]
An atypical case of congenital epulis such as the one being reported also demonstrates that it is essential to keep in mind the clinical, radiographic and histological characteristics of the lesion and not just the epidemiological characteristics to establish [ijcasereportsandimages.com]
Prevention
This paper describes the case of a day old baby who was admitted to hospital because of the presence of a large intraoral swelling that was preventing her from breast feeding. [ncbi.nlm.nih.gov]
In our case, the tumor size was six centimeters and obstructing the oral cavity and preventing breast feeding. [panafrican-med-journal.com]