• Spontaneous resolution of a plasmacytoma in the mouth

The mass had grown substantially in the weeks before we saw the case and was crossing the midline. Even without achieving substantial excision margins, 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 decision they came to, and not be worried that they might regret their decision in a few weeks.

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

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

Way to go, Romeo!

1st November 2018


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