A rare case of congenital epulis of the newborn with multiple lesions

Authors

  • João Gabriel Souza Pinto ULBRA
  • Humberto Thomazi Gassen ULBRA
  • José Luiz Piazza UNISC
  • Pedro Antonio Gonzalez Hernandez ULBRA
  • Tânia Maria Pereira Isolan
  • Aurelício Novaes Silva Júnior Universidade Luterana do Brasil

Keywords:

Gingival neoplasms, epulis, congenital, surgery

Abstract

Purpose: To describe a case of congenital epulis with multiple lesions, which was treated combining surgical resection of the largest tumor and monitoring of the smaller lesions. Case description: A white female newborn showed a large (2.4x1.8x1.1cm), pinkish-red, nodular formation on the left side of the maxillary alveolar ridge, which was preventing mouth closure and causing feeding difficulties. Other small polyps were present on the left side of the mandibular ridge. Excisional biopsy under general anesthesia allowed for the complete removal of the irregular, bilobed maxillary tumor. The diagnostic hypothesis of congenital epulis of the newborn was confirmed based on both the anatomic details and immunohistochemical profile of the lesion. The smaller mandibular tumors were not resected; complete spontaneous remission occurred within 6 months. After surgery, the patient showed substantial clinical improvement, with complete functional and esthetic rehabilitation. No recurrence was observed. Conclusion: Treatment allowed the reestablishment of vital functions and normal neonatal development. The surgical approach improved the infant’s quality of life and restored the parents’ confidence and emotional stability. Key words: Gingival neoplasms; epulis, congenital; surgery

Author Biographies

João Gabriel Souza Pinto, ULBRA

Departamento de Cirurgia e Traumatologia Bucomaxilofacial.

Humberto Thomazi Gassen, ULBRA

Aluno do Mestrado em CTBMF. Departamento de Cirurgia e Traumatologia Bucomaxilofacial da Faculdade de Odontologia - ULBRA.

José Luiz Piazza, UNISC

Mestre e Doutor em CTBMF. Departamento de Cirurgia e Traumatologia Bucomaxilofacial da Faculdade de Odontologia - UNISC.

Pedro Antonio Gonzalez Hernandez, ULBRA

Mestre e Doutor em CTBMF. Departamento de Cirurgia e Traumatologia Bucomaxilofacial da Faculdade de Odontologia - ULBRA.

Aurelício Novaes Silva Júnior, Universidade Luterana do Brasil

Mestre e Doutor em CTBMF. Departamento de Cirurgia e Traumatologia Bucomaxilofacial da Faculdade de Odontologia - ULBRA.

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Published

2008-06-22

Issue

Vol. 23 No. 4 (2008)

Section

Case Report

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