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A Case of Congenital Epulis of the Newborn

Journal of the Korean Pediatric Society 2000;43(12):1621-1625.
Published online December 15, 2000.
A Case of Congenital Epulis of the Newborn
Dong Gon Lee1, Eun Young Kim1, Sang Kee Park1, eong Ryoul Yang2, Dong Chool Kim3, Jae Hong Seo3
1Departments of Pediatrics, College of Medicine, Chosun University, Kwangju, Korea
2Departments of Plastic Surgery, College of Medicine, Chosun University, Kwangju, Korea
3Departments of Pathology, College of Medicine, Chosun University, Kwangju, Korea
선천성 치은종(Congenital Epulis) 1례
이동곤1, 김은영1, 박상기1, 양정렬2, 김동출3, 서재홍3
1조선대학교 의과대학 소아과학교실
2조선대학교 의과대학 성형외과학교실
3조선대학교 의과대학 병리학교실
Abstract
Congenital epulis of the newborn refers to a very rare gingival tumor that occurs along the anterior alveolar ridge in newborn infants. We report a neonate with 3¡¿2¡¿1.5cm mass protruding from the mouth. This was a pinky, red solid pedunculated mass, attached to the maxillar left canine region of the alveolus at birth. The tumor's large size partially obliterated the oral cavity and caused oral feeding difficulty but did not cause respiratory problems. We described the postnatal MR imaging findings, electromicroscopic, histochemical and immunohistochemical studies of this tumor in order to search for the histogenesis of the tumor. In our case, histochemically, individual tumor cells contained numerous PAS positive cytoplasmic granules. Immunohistochemically, strong and diffuse cytoplasmic staining for vimentin and NSE was observed. Staining with S-100 protein, cytokeratin, desmin, CEA, factor VIII-related antigen, lysozyme, EMA were negative. After total excision of the lesion in our case, we had no complication or recurrence either early or late(up to one year).
Key Words: Congenital epulis, Immunohistochemical studies


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