Medical Care
Treatment for granular cell tumors and congenital epulis is surgery. While extensive surgery is not indicated, recurrence of granular cell tumors has been reported several years after removal. Recurrence of congenital epulis has not been reported; however, the number of total cases is small. If congenital epulis is asymptomatic and surgery is deferred, the lesion may regress spontaneously. [25]
Surgical Care
Excision with a scalpel under local anesthesia is the preferred method; however, surgical margins are difficult to determine intraoperatively in the case of the granular cell tumor. Excision down to the periosteum usually is the goal for treating congenital epulis; however, recurrence does not seem to occur even if this lesion is not completely removed.
Activity
Advise the patient with routine postoperative precautions.
Complications
Complications may occur as a result of risks associated with routine excisional biopsy.
Long-Term Monitoring
Granular cell tumors have been reported to recur several years after removal. Long-term follow-up care is warranted.
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Clinical photograph of a granular cell tumor on the tongue of a 38-year-old man.
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Granular cell tumor.
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Congenital epulis.