A 2.5-kg girl was born with a growth inside the mouth associated with feeding difficulty. There was no respiratory difficulty. Antenatal ultrasound did not detect any abnormality. On examination a round, 3x2 cm wide base, uneven, lobulated, pink-colored soft tissue mass was protruding into the mouth. Precise tumor attachment could not be appreciated during the initial examination (Fig.1).
Mass was mixed in consistency with firm and cystic areas on palpation. Adjacent tissues appeared normal on examination. She was booked for excision which was done with an elliptical incision at the base of the lesion. Mucosal defect was left open. There was minimal blood loss. Postoperative recovery was uneventful. The neonate was discharged home on the following day. Excised tissue was sent for histopathological examination. The microscopic examination revealed mature teratoma with mature stratified squamous epithelium, mucinous gland and mesenchymal tissue scattered throughout (Fig. 2,3). A baseline alpha fetoprotein level was normal. Patient was advised for regular follow-up to detect any recurrence.