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Images in neonatal medicine
Two variations of congenital epulis
  1. Gauthamen Rajendran1,
  2. Andrew Pay2,
  3. Charles Christoph Roehr1,3
  1. 1 Newborn Care Services, John Radcliffe Hospital, Oxford University Hospitals, NHS Trust, Oxford, UK
  2. 2 Department of Plastic Surgery, John Radcliffe Hospital, Oxford University Hospitals, NHS Trust, Oxford, UK
  3. 3 Department of Neonatology, Charité University Medical Center Berlin, Berlin, Germany
  1. Correspondence to Dr Gauthamen Rajendran, Newborn Care Services, John Radcliffe Hospital, Oxford University Hospitals, NHS Trust, Oxford, OX3 9DU, UK; gauthamen.r{at}gmail.com

https://doi.org/10.1136/archdischild-2015-310312

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    Congenital epulis (CE) is a rare benign tumour in neonates. We report two term-born female neonates with dissimilar presentations of CE despite normal antenatal scans. Infant 1 presented at birth with a large bilobulated tumorous mass (figure 1A). The mass arose with a narrow stem from the mandibular alveolar ridge. It measured approximately 7 cm×7 cm×5 cm and significantly interfered with feeding. The right lobule showed ulceration with bleeding and the mass blanched under pressure. MRI of her head and neck …

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    Footnotes

    • Contributors GR, AP and CCR were involved in the diagnosis and management of patients, drafting the article and revising it critically.

    • Competing interests None declared.

    • Patient consent Parental/guardian consent obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.