In late 1917 I had a painful swelling at the soft palate, it soon receeded after I lit up a cigar. It is now 1923 and I have an ulcerous or leukoplastic growth on my jaw and palate. Just now, on April 7 1923 Felix Deutsch does not agree with epithelioma and talks about a “bad leukoplakia”. He seems distressed after having seen the ulcer. A rhinologist will perform the surgery. Based on the anamnesis so far, is this the right choice of action?
Dear Mr. Sigmund Freud, Thank you for your inquiry regarding the ulcerous or leukoplastic growth on your jaw and palate. Based on the anamnesis provided, it is understandable that you are seeking clarity on the appropriate course of action. The presence of a painful swelling in the soft palate that receded upon resuming smoking, as