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.