Multiple congenital oral granular cell tumours in a newborn black female: a case report.
BACKGROUND
Congenital oral granular cell tumour of the newborn is an uncommon benign tumour of uncertain origin. The typical clinical appearance is of a single nodule occurring on the anterior maxillary ridge. In 10% of cases there are multiple lesions. The occurrence of congenital epulis in non-Caucasians is rare.


METHODS
Two firm pedunculated nodular lesions were noticed in the mouth of a 3-day-old black female: one on the anterior maxillary ridge and the other further posteriorly in the midline of the palate. Both lesions were excised when the baby was nine days old. Microscopic examination of the lesions showed densely packed round to oval cells with abundant granular eosinophilic cytoplasm and uniform nuclei. The diagnosis was congenital granular cell tumour.


CONCLUSIONS
Congenital oral granular cell tumour occurs almost exclusively in Caucasian newborns but also rarely in black infants. The parents should be assured of the benign nature and the simple treatment of the condition.
Feller
Liviu
L
Department of Periodontology and Oral Medicine, School of Dentistry, Medunsa Campus, University of Limpopo, Pretoria, South Africa. lfeller@ul.ac.za.
Wood
Neil H
NH
Singh
Avin S
AS
Raubenheimer
Erich J
EJ
Meyerov
Robin
R
Lemmer
Johan
J