Oral Granular Cell Tumors Treatment & Management

Updated: Mar 20, 2018
  • Author: Steven Brett Sloan, MD; Chief Editor: Dirk M Elston, MD  more...
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Treatment

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]

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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.

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Activity

Advise the patient with routine postoperative precautions.

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Complications

Complications may occur as a result of risks associated with routine excisional biopsy.

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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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