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

**Authors:** Yu Hara, Kunio Yoshizawa, Junya Furukawa, Atsuya Ishiyama, Riku Kohara, Karen Gomi, Akinori Moroi, Koichiro Ueki

PMC · DOI: 10.1155/crid/5558231 · Case Reports in Dentistry · 2026-01-08

## TL;DR

A 60-year-old man had a large benign tumor in his lower gum, which was successfully removed and did not return after six months.

## Contribution

This paper presents a rare case of a large granulomatous epulis in the mandible, emphasizing its clinical and histopathological features.

## Key findings

- The lesion was a 55 × 35 × 20 mm mass in the mandibular gingival region.
- Histopathological analysis confirmed the diagnosis of granulomatous epulis.
- The patient showed no recurrence after six months of follow-up.

## 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.

## Full-text entities

- **Diseases:** swelling (MESH:D004487), Granulomatous Epulis (MESH:D005882), malignancy (MESH:D009369)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

_Full body text omitted from this summary view._ Fetch the complete paper as Markdown: https://tomesphere.com/paper/PMC12783054/full.md

## Figures

5 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12783054/full.md

## References

5 references — full list in the complete paper: https://tomesphere.com/paper/PMC12783054/full.md

---
Source: https://tomesphere.com/paper/PMC12783054