A Case of a Huge Granulomatous Epulis in the Mandibular Alveolar Region

Epulis is a general diagnostic term for benign localized tumors that occur in the gingiva. Clinical diagnosis is usually straightforward based on the location and morphology of the lesion; however, large lesions may mimic malignancy. We report a case of a large granulomatous epulis in the mandibular alveolar region. A male in his 60s presented with swelling in the right mandible. Examination revealed a well-defined, pedunculated soft tissue mass in the right mandibular gingival region. Then, 1 month after the initial visit, the lesion (55 × 35 × 20 mm) was resected under general anesthesia. Histopathological examination confirmed granulomatous epulis, and the patient has remained free of recurrence after 6 months of follow-up.

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Journal
Case Reports in Dentistry
Published
2026-01-01
DOI
https://doi.org/10.1155/crid/5558231
Primary Topic
Oral and Maxillofacial Pathology
Type
article
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article

A Case of a Huge Granulomatous Epulis in the Mandibular Alveolar Region

Akinori Moroi, Kunio Yoshizawa, Karen Gomi, Riku Kohara et al.
Case Reports in Dentistry
Oral and Maxillofacial Pathology
article

A Case of a Huge Granulomatous Epulis in the Mandibular Alveolar Region

Akinori Moroi, Kunio Yoshizawa, Karen Gomi, Riku Kohara, Atsuya Ishiyama, Koichiro Ueki, Yu Hara
article en

Abstract

Epulis is a general diagnostic term for benign localized tumors that occur in the gingiva. Clinical diagnosis is usually straightforward based on the location and morphology of the lesion; however, large lesions may mimic malignancy. We report a case of a large granulomatous epulis in the mandibular alveolar region. A male in his 60s presented with swelling in the right mandible. Examination revealed a well-defined, pedunculated soft tissue mass in the right mandibular gingival region. Then, 1 month after the initial visit, the lesion (55 × 35 × 20 mm) was resected under general anesthesia. Histopathological examination confirmed granulomatous epulis, and the patient has remained free of recurrence after 6 months of follow-up.

Case Reports in DentistryVol. 2026(1)
University of Yamanashi Hospital (JP), University of Yamanashi (JP)
Good health and well-being
Openalex Percentile: Top 93%
Oral and Maxillofacial Pathology
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A Case of a Huge Granulomatous Epulis in the Mandibular Alveolar Region — Akinori Moroi, Kunio Yoshizawa, et al. · Case Reports in Dentistry (2026) | TGRS Research Map | TGRS