Congenital gingival granular cell tumor
A 6 days old baby girl came to my hospital sent from far district (2 days with boat trip) with congenital lesion which solitary, pedunculated, flesh pink colored mass on the mouth. After general work up, diagnostic was made as congenital epulis. Surgical excision through eliptical incision to the pedunculated and hemostasis achieved with diathermy. Congenital gingival granular cell tumor (CGCT) also known as congenital granular cell lesion, congenital epulis, congenital myoblastoma or Neumann's tumor (first described by Neumann in 1871) is a rare benign tumor. Present at birth and does not grow much thereafter. Only 10% as multiple. Maxillary to mandibular ratio 3:1, female to male ratio is 8:1. Etiologic factors are uncertainIn utero obstruction of the oral cavity can result in ineffective swallowing and can cause polyhidroamnion and post-natal will causing feeding problem or respiration.
