Clinical features

Congenital granular cell epulis (CGCE) occurs twice as often in the maxilla as in the mandible, usually presenting as a solitary, somewhat pedunculated fibroma-like lesion attached to the alveolar ridge near the midline. A few cases of simultaneous occurrence of a CGCE and a granular cell tumour of the tongue have been reported {1564,2848}. The size of a CGCE may vary from a few millimetres up to several centimetres. Since the availability of ultrasound examination techniques, a number of cases have been diagnosed in the prenatal stage {1839,2000}.

Fig. 4.43 Congenital granular cell epulis of the maxilla.

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