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2012-08-08-02 Congenital epulis © Elena Andreeva

Congenital  epulis
Elena Andreeva, MD; Natalia Odegova, MD
Moscow regions Research Institute of Obstetrics and Gynecology, Medical-Genetics Department, Moscow, Russia.

Case report:
A 21-year-old G2 P0 with non-contributive family and personal history was referred to our center for the ultrasound scan at 33 weeks of gestation. 
We found tumor, emanating from the fetal mouth during our examinations. No other abnormalities were detected. 
The ultrasound findings were suggestive of epulis-congenital granular cell tumors of the gingival.

The female neonate was born at 38 weeks, 3170 gr, 50 cm
A complete surgical excision was done immediately after delivery. She was doing well then without complication.

Image 1. Tumor emanating from the fetal mouth

Image 2 Color Doppler image showing vessels supplying the tumoral mass.


Image 3,4,5: 3D views showing the tumor protruding from the mouth


Image 6.The histological diagnosis was granular cell tumor (Epulis).

Video clip: Vascularisation of the tumor

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