CASE HISTORY/EXAMINATION:
A twenty-six-year-old man reported to the department of oral medicine
and radiology with the chief complaint of wound in the mid-palatal
region since 35 days (figure 1). The patient noticed the ulcer which was
initially a pea-sized and gradually progressed to present size within
the span of 15-20 days and then remained of the approximately same size.
Patient had the significant history of cigarette smoking for 10 pack
years , which contributed to the anxiousness about the lesion due to
cancerophobia, Patient had no significant medical history and past
dental history, apart from prescription of different antibiotics and
analgesics by previous dentists which could not improve his condition.
There was no significant history of trauma. extra oral examination was
non-significant and intraoral examination revealed generalized black
stains on the coronal surface of the teeth and a solitary ulcer in the
mid palatal region of size roughly 2x3 in its greatest dimension. The
margin of an ulcer appeared rolled, erythematous and was covered with
the yellowish slough. The lesion was non indurated, slight tender on
palpation. The regional lymph nodes were non palpable.