Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

A CASE REPORT OF CONGENITAL EPULIS IN THE FETUS

태생 36주에 발견한 선천성 에푸리스(congenital epulis)의 치험례

  • Song, Woo-Sik (Dept. of Oral & Maxillofacial Surgery, Pundang CHA Hospital, Pocheon CHA Medical College.) ;
  • Baek, Kyeong-Sik (Dept. of Oral & Maxillofacial Surgery, Pundang CHA Hospital, Pocheon CHA Medical College.) ;
  • Kwon, Oh-Seung (Dept. of Oral & Maxillofacial Surgery, Pundang CHA Hospital, Pocheon CHA Medical College.) ;
  • Kim, In-Kwun (Dept. of Oral & Maxillofacial Surgery, Pundang CHA Hospital, Pocheon CHA Medical College.) ;
  • Kim, Ka-Young (Dept. of Pedodontics Pundang CHA Hospital, Pocheon CHA Medical College.)
  • 송우식 (포천중문의대 분당차병원 구강악안면외과) ;
  • 백경식 (포천중문의대 분당차병원 구강악안면외과) ;
  • 권오승 (포천중문의대 분당차병원 구강악안면외과) ;
  • 김인권 (포천중문의대 분당차병원 구강악안면외과) ;
  • 김가영 (포천중문의대 분당차병원 소아치과)
  • Published : 1999.12.31
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Abstract

The congenital epulis of newborn is a rare benign tumor that occurs on the gingiva of the anterior alveolar ridge of the jaws, also known as a congenital granular cell tumor. Females are affected 8 - 10 times more often than males. The typical location is the alveolar ridge of the maxilla near the canine but the mandibular region can also be involved. The lesion may be sessile or pedunculated with red or normal color. The size of tumor varies from several millimeters to a few centimeters in diameter. Surgical excision is generally indicated and no recurrences have been noticed. Spontaneous regression is rare. It is histologically similar to the granular cell tumor, although pseudoepitheliomatous hyperplasia does not occur in the former lesion. Thus sheets of large, closely packed cells showing fine, granular, eosinophilic cytoplasm comprise the tumor mass. This is a case report of congenital epulis in the fetus. The lesion was detected in ultrasonogram, its size is 3cm in diameter. The infant showed nursing disturbance and respiratory obstruction after birth, so the tumor was surgically excised under local anesthesia.

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