ABSTRACT
BACKGROUND: The congenital granular cell tumour of the newborn, also known as congenital epulis or Neumann's tumor, is rare. It occurs on the gingiva of the anterior alveolar ridge of the jaws. This lesion behaves in a benign manner and no recurrent or metastatic lesions have been reported. CASE REPORT: We are reporting a 2-day-old female neonate, who came to our unit with a well defined, solitary, firm mass arising from the maxillary anterior region measuring about 3.5 cms in diameter and causing difficulty in breast feeding but no hindrance to the airway. The mass was surgically excised under general anesthesia. Postoperative wound healing was uneventful. CONCLUSION: We have shared our experience in handling this rare type of tumor. We have presented the clinical features and the different modalities of its treatment to spread awareness among clinicians for better management of similar tumors.
Subject(s)
Gingival Neoplasms/congenital , Maxillary Neoplasms/congenital , Rare Diseases/congenital , Female , Gingival Neoplasms/pathology , Gingival Neoplasms/surgery , Humans , Infant, Newborn , Maxillary Neoplasms/pathology , Maxillary Neoplasms/surgery , Rare Diseases/pathology , Rare Diseases/surgeryABSTRACT
We describe a case of left homolateral complete cleft lip/palate associated with a congenital left maxillary teratoma and left orbital teratoma. The patient required step-by-step reconstruction that first included resection of the 2 teratomas in consideration of cleft lip repair, cleft palate repair, and correction of the left periorbital anomalies, which were performed later. After performing all the necessary procedures, complete resection of the tumors and correction of the anomalies associated with the lip, palate, and left orbit were achieved. The rare occurrence of this type of association and its devastating effect on a patient's growth, aesthetics, and function of craniofacial elements require careful surgical planning to enable restoration of the anatomy and proper functional development. At follow-up, the patient showed significant improvement in the functional and aesthetic aspects.
Subject(s)
Cleft Lip/surgery , Cleft Palate/surgery , Maxillary Neoplasms/surgery , Neoplasms, Multiple Primary/surgery , Orbital Neoplasms/surgery , Plastic Surgery Procedures/methods , Teratoma/surgery , Cleft Lip/complications , Cleft Palate/complications , Humans , Infant , Male , Maxillary Neoplasms/complications , Maxillary Neoplasms/congenital , Neoplasms, Multiple Primary/complications , Neoplasms, Multiple Primary/congenital , Orbital Neoplasms/complications , Orbital Neoplasms/congenital , Teratoma/complications , Teratoma/congenitalABSTRACT
Ameloblastic fibroma is a rare, slow-growing benign mixed odontogenic tumor. It constitutes 2% of odontogenic tumors and is reported to occur at an age ranging from 6 months to 42 years. The youngest being a 7-week-old infant. We report a case of peripheral ameloblastic fibroma in a 2-week-old infant. The lesion presented since birth. It involved the maxilla with an extraosseous component involving the gingiva. A more or less conservative surgical approach of enucleation and curettage of the lesion was done under general anesthesia, trying to conserve the adjacent tooth buds. Only a few cases of congenital peripheral ameloblastic fibroma have been reported so far.
Subject(s)
Maxillary Neoplasms/congenital , Maxillary Neoplasms/surgery , Odontogenic Tumors/congenital , Odontogenic Tumors/surgery , Diagnosis, Differential , Diagnostic Imaging , Female , Humans , Infant, NewbornABSTRACT
A 3 day old girl presented with lobulated mass protruding from her mouth. The mass was clinically diagnosed as a congenital epulis. The child had no airway obstruction and was able to feed well. A conservative treatment was proposed with monthly follow up appointments to monitor the lesion. After 10 months the lesion completely regressed and the eruption of maxillary anterior teeth remained unaffected
Subject(s)
Gingival Neoplasms/congenital , Maxillary Neoplasms/congenital , Neoplasm Regression, Spontaneous/pathology , Female , Follow-Up Studies , Gingival Neoplasms/pathology , Humans , Infant, Newborn , Maxillary Neoplasms/pathology , Tooth Eruption/physiology , Tooth, Deciduous/physiology , Watchful WaitingABSTRACT
Congenital granular cell lesion, or congenital epulis, is a rare lesion of the newborn. The sight of a newborn infant with congenital epulis can be startling for both parents and healthcare professionals. The lesion appears most commonly in the maxillary alveolar ridge, with predominance in females. The etiology and histogenesis of the lesion remain obscure. This lesion can pose a risk of airway obstruction or can interfere with feeding. The report presented here describes a case of congenital granular cell lesion in the left maxillary region. The lesion was causing a feeding problem and, hence, was excised under local anesthesia.
Subject(s)
Gingival Neoplasms/congenital , Maxillary Neoplasms/congenital , Biopsy , Diagnosis, Differential , Female , Humans , Infant, NewbornSubject(s)
Gingival Neoplasms/diagnosis , Maxillary Neoplasms/diagnosis , Female , Gingival Neoplasms/congenital , Gingival Neoplasms/pathology , Gingival Neoplasms/surgery , Humans , Infant , Maxillary Neoplasms/congenital , Maxillary Neoplasms/pathology , Maxillary Neoplasms/surgery , Treatment OutcomeABSTRACT
OBJECTIVE: The purpose of this study was to present our experience with definitive surgical management of infants with Melanotic neuroectodermal tumor of infant (MNTI) and epithelioid hemangioendothelioma (EHE). PATIENTS AND METHODS: This study included four male infants with histologically proven MNTI (three infants) and EHE (one infant). CT scan and MRI were for taken for the patients preoperatively. Surgical intervention was used in all infants. RESULTS: This study is a retrospective study that reflects our experience in the last 20 years in maxillectomy in infants. All infants were male with mean age 6 months (2-9 months). Complete resection of the tumor was achieved all infants with no residual or recurrence. Neither chemotherapy nor radiation was used in this study. CONCLUSIONS: MNTI and EHE are rare tumor of infant. They present as a slow painless hard swelling of the maxilla. Imaging is an essential before surgical treatment. Complete excision is curative.
Subject(s)
Maxilla/surgery , Maxillary Neoplasms/pathology , Maxillary Neoplasms/surgery , Neuroectodermal Tumor, Melanotic/pathology , Neuroectodermal Tumor, Melanotic/surgery , Biopsy, Needle , Emergency Treatment , Follow-Up Studies , Humans , Immunohistochemistry , Infant , Infant, Newborn , Male , Maxillary Neoplasms/congenital , Maxillary Neoplasms/diagnostic imaging , Neoplasm Invasiveness/pathology , Neoplasm Staging , Neuroectodermal Tumor, Melanotic/congenital , Oral Surgical Procedures/methods , Rare Diseases , Retrospective Studies , Risk Assessment , Sampling Studies , Tomography, X-Ray Computed/methods , Treatment OutcomeABSTRACT
Cryotherapy is the application of varying extremes of cold temperatures to destroy abnormal tissue. The intent of this article is to describe a novel technique using percutaneous cryotherapy for treating a noninvoluting congenital craniofacial hemangioma (NICH). An 18-year-old woman with type 1 von Willebrand's disease, as well as a qualitative platelet aggregation disorder, presented with multiple recurrent episodes of oral bleeding from a NICH involving the right buccal space and maxillary tuberosity. The patient was initially treated with a combination of endovascular particulate embolization, percutaneous sclerotherapy, tissue cauterization, and laser therapy between the ages of 4 and 8 years of age. At 18 years of age, the patient presented with recurrent episodes of oral bleeding related to the NICH. Endovascular embolization was performed using particulate and a liquid embolic agent with limited success. Due to the refractory nature of this bleeding, the patient underwent successful lesion ablation using percutaneous cryotherapy. At 9-month follow-up, the patient is asymptomatic with no episodes of recurrent bleeding.
Subject(s)
Cheek , Cryosurgery/methods , Hemangioma/congenital , Hemangioma/surgery , Maxillary Neoplasms/congenital , Maxillary Neoplasms/surgery , Mouth Neoplasms/congenital , Mouth Neoplasms/surgery , Oral Hemorrhage/surgery , Adolescent , Blood Platelet Disorders/complications , Blood Platelet Disorders/congenital , Female , Hemangioma/diagnosis , Humans , Image Processing, Computer-Assisted , Magnetic Resonance Imaging , Maxillary Neoplasms/diagnosis , Mouth Neoplasms/diagnosis , Oral Hemorrhage/diagnosis , Platelet Aggregation , Postoperative Complications/surgery , Recurrence , Reoperation , Tomography, X-Ray Computed , von Willebrand Disease, Type 1/complicationsABSTRACT
The term jaw tumor of embryonic origin includes vestiges of organogenetic processes, hamartomas, teratomas, and blastemal tumors. Teratomas of the head and neck account for less than 2% of all teratomas. Epignathus is a subtype of congenital facial teratoma affecting the maxilla. It is a severe fetal pathology which causes deglutition disorders and severe hydramnios and may lead to therapeutic abortion. Oral cavity teratomas are almost always mature and thus benign and encapsulated. They may have an impact on maxillary growth. Surgery is the only treatment. It can be immediate postbirth tumor removal when neonatal respiratory distress can be managed by the anesthesiologist, or an EXIT (ex utero intrapartum) procedure.
Subject(s)
Jaw Neoplasms/diagnosis , Neoplasms, Germ Cell and Embryonal/diagnosis , Diagnosis, Differential , Fetal Diseases/diagnosis , Hamartoma/diagnosis , Humans , Jaw Diseases/diagnosis , Maxillary Neoplasms/congenital , Teratoma/congenital , Teratoma/diagnosisABSTRACT
A case of melanotic neuroectodermal tumor of infancy occurring in the maxilla in a 13 day old neonate is described. Computed tomography and histopathology confirmed the diagnosis and a submucosal excision was carried out when the infant was 30 days old. But three weeks later the patient reported back with a recurrence and a wide surgical excision was performed. The recurrence may have been caused by incomplete removal of the tumor cells and the initial surgical procedure may have stimulated tumour cell proliferation. Fortunately, 6 month follow up of the patient showed no recurrence.
Subject(s)
Maxillary Neoplasms/congenital , Neuroectodermal Tumor, Melanotic/congenital , Biopsy, Fine-Needle , Cell Nucleus/ultrastructure , Cell Proliferation , Cytoplasm/ultrastructure , Follow-Up Studies , Humans , Infant, Newborn , Male , Maxillary Neoplasms/pathology , Neoplasm Recurrence, Local/pathology , Neuroectodermal Tumor, Melanotic/pathology , Tomography, X-Ray ComputedSubject(s)
Hemangiopericytoma/congenital , Maxillary Neoplasms/congenital , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Cisplatin/administration & dosage , Cyclophosphamide/administration & dosage , Doxorubicin/administration & dosage , Female , Hemangiopericytoma/drug therapy , Humans , Infant, Newborn , Maxillary Neoplasms/drug therapy , Vincristine/administration & dosageABSTRACT
This report represents a case of unusual large size congenital granular cell tumor appearing on the maxillary alveolar ridge in a newborn. Positive staining was found for S-100 protein. The authors discuss the clinical picture, histological findings, etiology and treatment of this rare lesion.
Subject(s)
Gingival Neoplasms/congenital , Granular Cell Tumor/congenital , Cytoplasm/ultrastructure , Cytoplasmic Granules/ultrastructure , Diagnosis, Differential , Epithelium/pathology , Female , Gingival Neoplasms/pathology , Granular Cell Tumor/pathology , Humans , Infant, Newborn , Maxillary Neoplasms/congenital , Maxillary Neoplasms/pathology , Periodic Acid-Schiff Reaction , S100 Proteins/analysisABSTRACT
A 6-month-old female presented with a swelling of the left superior maxillary bone. A radiograph revealed a radiolucent lesion in the left anterior maxilla, and CT, showed a solid mass. At surgery, the lesion was a cystic dental tumor of ectopic location which was treated by excision. The pathological diagnosis was melanotic neurorectodermal tumor. This is an uncommon benign tumor of the neural crest origin that occurs mainly in the maxilla (70% of cases) but can occur in other areas such as the skull and the mandible. CT reveals a hyperdense mass and MR shows a hypointense mass on T1-weighted images and an iso-intense mass on T2-weighted images. The evolution is usually benign after surgical removal.
Subject(s)
Magnetic Resonance Imaging , Maxillary Neoplasms/congenital , Neuroectodermal Tumor, Melanotic/congenital , Tomography, X-Ray Computed , Diagnosis, Differential , Female , Humans , Infant , Maxilla/pathology , Maxilla/surgery , Maxillary Neoplasms/diagnosis , Maxillary Neoplasms/pathology , Maxillary Neoplasms/surgery , Neuroectodermal Tumor, Melanotic/diagnosis , Neuroectodermal Tumor, Melanotic/pathology , Neuroectodermal Tumor, Melanotic/surgeryABSTRACT
Congenital epulis of the newborn is a rare gingival tumor that occurs along the alveolar ridge. We report the prenatal sonographic and postnatal MR imaging findings in an infant with maxillary and mandibular congenital epulides.
Subject(s)
Gingival Neoplasms/congenital , Adult , Alveolar Process/pathology , Female , Fetal Diseases/diagnostic imaging , Gingival Neoplasms/diagnosis , Gingival Neoplasms/diagnostic imaging , Gingival Neoplasms/pathology , Humans , Infant, Newborn , Magnetic Resonance Imaging , Mandibular Neoplasms/congenital , Mandibular Neoplasms/diagnosis , Mandibular Neoplasms/diagnostic imaging , Mandibular Neoplasms/pathology , Maxilla/abnormalities , Maxillary Neoplasms/congenital , Maxillary Neoplasms/diagnosis , Maxillary Neoplasms/diagnostic imaging , Maxillary Neoplasms/pathology , Pregnancy , Ultrasonography, PrenatalABSTRACT
Multiple congenital granular cell lesions occurring on the maxillary alveolar ridge and ventral aspect of the tongue were identified in a 22-day-old girl. The prevalence, histogenesis, and treatment of this lesion are discussed and the literature is reviewed.
Subject(s)
Alveolar Process/pathology , Gingival Neoplasms/congenital , Granular Cell Tumor/congenital , Maxillary Neoplasms/congenital , Tongue Neoplasms/congenital , Alveolar Process/surgery , Cell Nucleus/ultrastructure , Connective Tissue/pathology , Cytoplasm/ultrastructure , Diagnosis, Differential , Epithelium/pathology , Female , Gingival Neoplasms/pathology , Gingival Neoplasms/surgery , Granular Cell Tumor/pathology , Granular Cell Tumor/surgery , Humans , Infant, Newborn , Maxillary Neoplasms/pathology , Maxillary Neoplasms/surgery , Prevalence , Tongue Neoplasms/pathology , Tongue Neoplasms/surgeryABSTRACT
A case of a congenital melanotic neuroectodermal tumour in a male neonate is described. Management consisted of wide excision of the tumour as opposed to simple enucleation.
Subject(s)
Maxillary Neoplasms/congenital , Neuroectodermal Tumor, Melanotic/congenital , Diagnosis, Differential , Humans , Infant, Newborn , Male , Maxillary Neoplasms/pathology , Maxillary Neoplasms/surgery , Neuroectodermal Tumor, Melanotic/pathology , Neuroectodermal Tumor, Melanotic/surgeryABSTRACT
A newborn baby boy weighing 3100 g was found to have a pinky red solid mass 3 x 2.5 x 2 cm arising from the anterior ridge of the maxilla. This caused difficulty in feeding, and looked ugly. The mass was excised under local anaesthetic when he was 2 days old and histological examination showed congenital epulis. He also had a stage II congenital goitre. His hypothyroidism was treated with L-thyroxine sodium and he was well with no sign of recurrence of the tumour at the age of 1 year.
Subject(s)
Gingival Neoplasms/congenital , Granular Cell Tumor/congenital , Maxillary Neoplasms/congenital , Cell Nucleolus/ultrastructure , Cytoplasm/ultrastructure , Gingival Neoplasms/pathology , Goiter/congenital , Granular Cell Tumor/pathology , Humans , Infant, Newborn , Male , Maxillary Neoplasms/pathologyABSTRACT
A rare case of congenital epulis is presented. The tumor growth, as a result of intrauterine hormonal stimuli, is discussed along with evidence against the intrauterine estrogen stimulus theory.
Subject(s)
Granular Cell Tumor/congenital , Maxillary Neoplasms/congenital , Alveolar Process/surgery , Female , Granular Cell Tumor/pathology , Granular Cell Tumor/surgery , Humans , Infant, Newborn , Maxillary Neoplasms/pathology , Maxillary Neoplasms/surgeryABSTRACT
Epignathi are unusual congenital tumours presenting as oropharyngeal masses, often resulting in rapid asphyxia following birth. Occasionally, intracranial extension of the tumour is present, and two such cases are described. The presence of this complication, diagnosable by ultrasound examination, indicates that aggressive surgical treatment is inappropriate.