A newborn baby with a tumor protruding from the mouth. Diagnosis: congenital gingival granular cell tumor.

A full-term Caucasian girl with Apgar scores of 9/10 at 1 and 5 minutes and a birth weight of 3,500 g was born to a healthy 24-year-old mother following her second normal pregnancy. Physical examination after birth revealed a firm, broad-based, pedunculated, pinkishred tumor that measured 25 × 10 × 10 mm and was inserted into the maxillary alveolus to the left of the midline (Fig. 1). The infant was otherwise healthy; hematological and biochemical blood analyses and ultrasound of the head and the abdomen were within normal limits. At age 5 days, the tumor was excised. Hematoxylinand eosin-stained sections showed large cells with abundant eosinophilic granular cytoplasm, arranged in islands, strands, or syncytial masses with scant intervening fibrovascular stroma (Fig. 2). Excision was incomplete; the tumor was present in resection margins. Healing was uneventful. At a 2-year follow-up there were no signs of local recurrence of the tumor.