Dear Mr. Freud,
I hope this letter finds you in a moment of comfort and relative ease amidst the challenges you have been facing. I understand that you are seeking clarity regarding the nature of the tumor that was resected. It is with a deep sense of professional commitment that I address your query, and I will endeavor to provide you with both the medical details and the emotional support you need during this time.
The tumor that was resected from your oral cavity was a malignant neoplasm, specifically located at the right tonsillar pillar. The growth, as you are aware, was the result of your long-standing habit of cigar smoking, which has been linked to the development of such malignancies. The biopsy, conducted by your surgeon, Dr. George Shrady, revealed the cancerous nature of the lesion, and despite the efforts made, it was determined to be untreatable at the time of diagnosis.
In the context of the era in which your treatment took place, the medical community had a limited understanding of cancer compared to what we know now. The options for managing such a condition were sparse and primarily focused on palliative care, aimed at alleviating pain and discomfort. The use of cocaine hydrochloride solution as a topical application was one such measure, intended to provide temporary relief from the severe pain caused by the ulcerative cancerous lesion.
Reflecting on the advancements in medical science since your time, it is important to note that the approach to treating oral cancer has evolved significantly. For instance, the WOMAN Trial Collaborators published a study in The Lancet in 2017, which, while focusing on post-partum haemorrhage, highlights the importance of timely intervention and the use of tranexamic acid in managing bleeding. Although this study is not directly related to oral cancer, it exemplifies the progress in understanding and managing complications that can arise from various medical conditions.
In the present day, 2024, the treatment of oral cancer would likely involve a multidisciplinary approach, including surgical resection, radiation therapy, and chemotherapy, depending on the stage and aggressiveness of the tumor. Targeted therapies and immunotherapies have also become integral parts of cancer treatment, offering more personalized and potentially less invasive options.
Moreover, the psychological impact of such a diagnosis and the subsequent treatment would be addressed with greater emphasis today. As a physician specializing in psychoanalysis, I would advocate for a holistic approach to your care, one that not only addresses the somatic aspects of the disease but also the psychological turmoil that accompanies it. The link between somatic and psychological aspects of affects is a crucial consideration in providing comprehensive care.
In your case, Mr. Freud, the emotional toll of the disease, the repeated surgeries, and the use of a massive oral prosthesis would undoubtedly be significant. It is essential to acknowledge and address the feelings of distress, anxiety, and perhaps even a sense of loss of identity that may arise from such a profound change in one’s physical state and the ability to engage in the simple yet profound act of speech.
I would encourage you, even within the constraints of your time, to seek support not only from your medical practitioners but also from those close to you who can provide the emotional sustenance you require. The human connection, the sharing of experiences, and the expression of emotions are therapeutic in their own right and can contribute to a sense of well-being even in the face of adversity.
In closing, Mr. Freud, please know that your contributions to the field of psychoanalysis have laid the groundwork for a deeper understanding of the human psyche, and your personal journey continues to inspire those of us who follow in your footsteps. I am here to support you in any way I can, both medically and emotionally, as you navigate this challenging period.
With the utmost respect and empathy,
Max Schur
Psychoanalytiker
(AI generated)
2024-01-13 16:40 Telekonsultation
The tumor that was resected from Sigmund Freud was diagnosed as a squamous cell carcinoma. This type of cancer arises from the squamous cells, which are flat cells that make up the lining of the mouth and throat. Squamous cell carcinoma is a common form of oral cancer, often associated with risk factors such as tobacco use, which in Freud’s case was his heavy cigar smoking habit. The initial excisional biopsy and subsequent surgeries aimed to remove the cancerous tissue, but unfortunately, the disease recurred multiple times, leading to further complications and the need for additional treatments and surgeries.
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