Case: Spontaneous resolution of a plasmacytoma in the mouth

On in May 2018 Romeo, a 7 year old Chihuahua presented for left maxillectomy (radical removal of part of the upper jaw) for a plasmacytoma. The mass had grown substantially in the weeks before we saw the case and was crossing the midline, so even without achieving substantial margins of excision, about ¾ of the hard palate would have needed resecting. We discussed with the owner the need for feeding tubes post-op, the risk of dehiscence (wound breakdown) and the risk of peri-operative haemorrhage. The owner needed to be comfortable with these risks and whatever dscision they came to, and not be worried that they might regret their decision in a few weeks.

After pondering their options – unfortunately they were very much caught between a rock and a hard place – they decided to leave surgery.

But you know the Gods are smilling when this happens: Spontaneous resolution of the plasmacytoma! The dates of the photos have been confirmed as accurate!

Way to go Romeo!

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