Questions and answers

What is congenital Epulis?

What is congenital Epulis?

Congenital epulis (CE) is a rare tumor of the newborn, also known as granular cell tumor or congenital gingival granular cell tumor because of its histologic features. Neumann first described CE in 1871. Epulis is seen only in the newborn and is a different entity from other granular cell tumors.

What causes congenital Epulis of newborn?

This lesion is more commonly found in female babies, suggesting hormonal involvement during embryonic development. The cause of this type of epulis is unknown. Also known as congenital granular cell tumor or Neumann’s tumor; historically referred to as granular cell myoblastoma.

How do you treat Epulis?

How do you treat giant cell epulis? Treatment involves surgical excision of the lesion and curettage of any underlying bony defect. The affected teeth may also need to be extracted or scaling and root planing performed. A recurrence rate of 10% or more has been reported and re-excision may be required.

What is granular cell tumor?

Listen to pronunciation. (GRAN-yoo-lur sel TOO-mer) A rare type of soft tissue tumor that usually begins in Schwann cells (cells that hold nerve cells in place). It can occur anywhere in the body, but it usually occurs in or under the skin of the head and neck (especially the mouth or tongue).

Should epulis be removed?

Acanthomatous epulis: Surgical removal is always recommended in these cases. Some may even require a procedure called a hemi-mandibulectomy (partial removal of lower jaw) or hemi-maxillectomy (partial removal of the upper jaw). Radiation is also considered a viable treatment option if the epulis is considered small.

What causes congenital epulis?

The cause of congenital epulis is unknown. Microscopically, it is often composed of large sheets or ribbons of polygonal or rounded cells with a small, dark basophilic nucleus and eosinophilic granular cytoplasm.

Does epulis go away?

Epulis tumors are generally benign, but some varieties are prone to invading nearby tissues and require removal of the growth and the surrounding tissue.

Can epulis be cancerous?

An epulis can be benign (i.e. non-cancerous) or malignant (cancerous). But it’s a little bit more complicated than that. Even a benign epulis can cause a lot of trouble. This type of tumor can be “locally invasive,” which means that it can grow into the jaw bone and literally eat the bone away.

How rare is a granular cell tumor?

Background: Granular cell tumors (GCTs) or Abrikossoff’s tumors are rare neoplasms known to originate from Schwann cells in the peripheral nervous system. These lesions are usually benign; malignancy only occurs in 1–2% of cases.

What is a granular lump?

Granular cell tumors (GCTs) are soft tissue tumors that can occur anywhere in the body. They are thought to arise from the cells that surround and insulate the nerve cells in our body (Schwann cells). Most granular cell tumors are benign (non-cancerous), although some may be locally aggressive.

How do you prevent epulis?

Deterrence/Prevention Regular dental care can prevent epulis fissuratum. Patients who wear dentures frequently believe that they no longer require care, and, under these circumstances, dentures lose their correct fit and become the source of irritation.

What is an epulis?

The word epulis is a generic term that refers to a growth on the gingiva or alveolar mucosa. However, the best-known usage of this term is in epulis fissuratum, which is a reactive overgrowth of fibrous connective tissue in response to an ill-fitting denture.