Betlejewski Stanisław, Betlejewski Andrzej
Katedra Zdrowia Publicznego Collegium Medicum im. L. Rydygiera w Bydgoszczy, Uniwersytet Mikołaja Kopernika w Toruniu.
Otolaryngol Pol. 2008;62(6):803-9. doi: 10.1016/S0030-6657(08)70367-6.
The case history of the German emperor Frederick III, who died of laryngeal cancer in 1888, is briefly reported. In spite of fact, that the German laryngologists the patient's pathologic changes diagnosed as laryngeal cancer in early stage, the ultimate diagnosis was made too late for surgery to have any effect. This delay was due to the differences in opinions between the attending laryngologists; particularly between that of the English prominent laryngologist Morell Mackenzie and the Germans, prof. Gerhardt and prof. Bergmann. The roles of the British Queen Victoria as well as her daughter, the wife of Prince Frederick, the princess Victoria, in decisions about the treatment of the disease, are discussed. The behavior and the personality of Sir Morell Mackenzie played also a very important role in the course of the disease. Some medical facts and symptoms render it probable that syphilis was the underlying reason for the development of cancer. Crown Prince Frederick was a pipe smoker for at least 30 years before he died at the age of 57 years, so it may be possible, that the Emperor's laryngeal cancer was induced by tobacco. There are some suggestions, that the premature death of the King of Prussia and German Emperor Frederick III could be a critical turning point in European's history.
简要报道了1888年死于喉癌的德国皇帝腓特烈三世的病史。尽管德国喉科医生在早期就将患者的病理变化诊断为喉癌，但最终诊断为时已晚，手术已无法产生任何效果。这种延误是由于主治喉科医生之间的意见分歧所致；尤其是英国著名喉科医生莫雷尔·麦肯齐与德国的格哈特教授和伯格曼教授之间的分歧。文中讨论了英国女王维多利亚以及她的女儿、腓特烈王子的妻子维多利亚公主在疾病治疗决策中所起的作用。莫雷尔·麦肯齐爵士的行为和个性在疾病发展过程中也起到了非常重要的作用。一些医学事实和症状表明，梅毒可能是癌症发展的潜在原因。腓特烈王储在57岁去世前至少抽了30年烟斗，所以皇帝的喉癌有可能是由烟草诱发的。有一些观点认为，普鲁士国王兼德国皇帝腓特烈三世的过早去世可能是欧洲历史上的一个关键转折点。
