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2022, Number 4

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Rev Cubana Pediatr 2022; 94 (4)

Congenital Epulis

Durán HR, Valcárcel LJ, Rivero COL

Language: Spanish
References: 23
Page:
PDF size: 242.53 Kb.


ABSTRACT

Introduction: Congenital epulis is a very rare benign tumor of unknown etiology. It occurs mainly on the crest of the alveolar ridge, near the canine region. Its size is variable and can occupy the entire oral cavity. The prevalence is higher in the upper jaw and in the female sex.
Objective: To examine the literature related to the diagnosis and treatment of congenital epulis regarding the presentation of a rare clinical case.
Presentation of the case: Female patient, 5 days old, who is admitted with an increase in polylobed volume, 1 cm in diameter, located in the left upper alveolar ridge, reddish, of firm consistency, pediculate base, which caused difficulties in feeding. No other alterations were identified. Due to the clinical and congenital nature of the entity, the diagnosis of congenital epulis was stated and surgical exeresis was performed under general anesthesia. Histopathological diagnosis was correlated with clinical findings and revealed congenital epulis.
Conclusions: Congenital epulis is a very rare benign tumor. There is no consensus among the authors regarding its pathogenesis and histogenesis. The indicated treatment is surgical exeresis at the time of birth, mainly when it interferes with feeding and breathing. Early diagnosis and timely treatment completely eliminate the lesion and complications associated with this tumor.


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