Congenital granular cell lesion: A rare tumor of new born
A 2-month-old female child was referred with the chief complaint of difficulty in feeding since a few days. On examination a 2 × 2 × 1 mm pedunculated growth was observed arising from the left side of maxilla in the canine region. The lesion was pink in color, similar to that of the surrounding mucosa, surface was smooth without any ulcerations and was firm in consistency. The patient was uncomfortable because of this small growth which was possibly hindering proper suction during breast feeding.[]. Surgical excision of the growth was performed under local anesthesia. There was minimal bleeding during the procedure and the infant was comfortable with breast feeding from the very next day. The gingival mass was fixed in formalin and sent for histopathological examination.\nHematoxylin and Eosin (H and E) stained section showed keratinized stratified squamous epithelium and underlying connective tissue stroma. High power view showed delicate Collagen fibers, numerous young fibroblasts and granular cells []. The granular cells were large oval cells with an eosinophillic and granular cytoplasm and single basophilic nucleus; these were seen to be scattered amidst the connective tissue []. Clinicopathological correlations were suggestive of CGCL.