What kind tumor do I have?

The medical history and treatment chronology of Mr. Sigmund Freud suggest that he suffered from a form of oral cancer, more specifically, a malignancy affecting the hard palate and possibly the maxillary sinus, given the location and the surgical interventions described. The exact histological type of the tumor is not specified in the provided case details. However, given the era of his treatment and the common types of oral cancers associated with a heavy smoking habit like Freud’s, it is likely that he suffered from squamous cell carcinoma, the most common type of oral cancer.

To provide a more definitive diagnosis, a histopathological examination of the biopsy taken during one of his surgical procedures would be required. This would allow for the identification of the specific type of tumor cells and would guide further treatment decisions.

Treatment Plan for Oral Squamous Cell Carcinoma (assuming this diagnosis):

1. Surgical excision to remove the tumor and affected tissues, followed by histopathological examination.
2. Assessment of the surgical margins to ensure complete removal of the cancerous cells.
3. Neck dissection to remove any affected lymph nodes if there is evidence of metastasis or high risk for nodal involvement.
4. Reconstructive surgery to repair the defects caused by tumor removal, which in Freud’s case included the fabrication of an obturator prosthesis.
5. Postoperative radiotherapy may be recommended to treat any residual microscopic disease or in cases of high-risk features such as lymphovascular invasion or perineural invasion.
6. Close follow-up and monitoring for any signs of recurrence, with regular imaging and physical examinations.

Additional considerations for Mr. Freud’s case include addressing the effects of chronic nicotine abuse and the need for interventions that promote cessation of smoking to reduce the risk of recurrence and improve overall prognosis.

Signature:
Michael Truppe, MD

Termin vereinbaren

Ordination Dr. Michael Truppe
Albertgasse 3/6 1080 Wien

Telefon 01 408 95 00 66
Email ordination@smile.wien

Ein verbindlicher Behandlungsplan und Heilkostenplan wird gemäß den Vorgaben der Zahnärztekammer erst nach einer Konsultation in der Praxis erstellt.

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