Gulzar Ali Bukhari, Muhammad Amin, Tassadaq Khurshid, Binish, Tariq Sarfraz.
Giant oral Teratoma in a newborn.
Pak Armed Forces Med J Jan ;58(3):357-9.

A 3.5 Kg female neonate born at 37 weeks gestation was brought at birth with a large, bony, fleshy, cylindrical mass 17 ×09 × 08cm in diameter protruding from her oral cavity. The obstetric history was unremarkable. Due to the oral mass, feeding was not possible and respiratory distress noted. She was referred from her hospital of birth (Allama Iqbal Hospital Sialkot) to our tertiary care unit, CMH Sialkot. At the initial examination, a large bony fleshy cylindrical mass was noted protruding from her oral cavity. The mass was attached to a stalk that originated from the hard palate (cruciform suture). As there was no associated anomaly and the mass was localized, an excisional biopsy was planned. Under general anesthesia, the mass was ligated and totally excised. After excision of the mass, hemostasis achieved. After removal of the tumour the mouth remained open due to maldevelopment of the jaw, the symphysis was inferiorly and posteriorly positioned. On next post operative day the patient developed respiratory symptoms and was referred to the pediatrician but inspite of all efforts the child expired on 5th post operative day. Histopathological examination of the mass revealed mature teratoma with mature keratinising squamous epithelium, skin adnexae, adipose tissue, neurological tissue and bone formation. Smooth muscle fibers were scattered throughout.

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