I'd prolly opt for the treatment and surgery. Elmo has had a couple of surgeries already for benign mast cell tumours, they had to be removed. He has also gone under (anesthesia and all) a couple of times as well for dental work, once he cracked his molar and his tooth had to be pulled out and another time for just tartar removal and teeth cleaning just like a human. He also had some minor gingivitis but anti-biotics took care of that. But he's not as old as your cat so he could go thru it all and recover fully etc.
Did you ask your vet how much your cat would have to endure/suffer if it went thru with the treatment and surgery considering its age? Like I said, it might not be as bad for a younger pet but I guess the issue is more the age.
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