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Congenital epulis is a rare benign oral cavity tumor that usually arises from the maxillary alveolar mucosa. It is also known as congenital gingival granular cell tumor. Prenatal diagnosis is uncommon and mostly confined to the third trimester. We report a case of congenital epulis, which was referred to our department at 35 weeks of gestation. Both images from our prenatal 2D/3D ultrasound (including Doppler technique) and magnetic resonance examination are presented. A baby girl weighing 2,800 g was delivered spontaneously at 36 weeks and 1 day. The newborn had to be intubated immediately after delivery. A simple excision of the mass was performed on the first day of neonatal life after clinical examination by our pediatric stomatologists confirmed the presence of a tumor resembling epulis. The correctness of this diagnosis was subsequently confirmed by histogenesis. Photographs from the operating room show the postnatal appearance of the tumor. The baby was discharged at the age of 19 days and has remained well at follow-up controls.

Medication-related osteonecrosis of the jaw (MRONJ) occurs as a side effect of several drug classes, including antiresorptives and antiangiogenics. Its treatment may be approached in a number of different ways. The report below outlines a notable surgical case wherein sequestrectomy (with the aid of fluorescence and a Visually Enhanced Lesion Scope) was paired with concurrent reconstruction using a nasolabial fold flap to cover a large osteonecrosis lesion.

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This case report takes readers through our journey to a diagnosis of a breast cancer metastasis superimposed on a stage II MRONJ lesion. It highlights the importance of sending all bone sequestra excised intraoperatively for histopathological examination.

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