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Congenital Epulis of the Newborn (A Case Heport) : 응급수술을 요하였던 신생아의 선천성 거대치육종 치험례

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Authors

Oh, Kap Sung; Park, Chul Gyoo

Issue Date
1986-09
Publisher
Seoul National University College of Medicine
Citation
Seoul J Med, Vol.27 No.3, pp. 285-291
Keywords
Giant congenital epulis
Abstract
Congenital epulis of the newborn appears at birth as a pedunculated, firm mass
on the anterior alveolar ridge. Although more common on the maxillary alveolar ridge, the
lesion may occur on the mandibular ridge. In 1871, Neumann first described a "congenital
epulis" in a newborn girl. A comprehensive review was published by Fuhr and Krogh in 1972;
they cited 113 cases in the literature and described a case of their own. The tumor size varies
from a few millimeters to 3 to 4 centimeters in diameter. Rarely, a large congenital epulis
sufficient to occupy most of the mouth and cause feeding and respiratory difficulty has been
reported.
We present a 12-hour-old Korean girl born with a giant congenital epulis which requires
immediate surgical excision for normal nursing and airway compromise.
The histogenetic origin of the tumor cells is ambiguous and the principal theories of origin
are odontgenic, myoblastic, fibroblastic, or neurogenic. We also present electromicroscopic and
immunohistochemical studies of this tumor in order to search for histogenesis of this kind of
tumor.
ISSN
0582-6802
Language
English
URI
https://hdl.handle.net/10371/5517
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