A 40-year-old man was presented complaining of an ulcer in the mouth which had been present for the last two months and was gradually increasing in size. He did not have any systemic complaints, was not on any medications and had no history of any allergy. He was a chronic smoker. Physical examination It did not reveal any extra oral abnormality. His left submandibular lymph nodes were enlarged, mobile and non-tender to palpation.
The soft tissue examination revealed a single discrete ulcer of less than 1 cm in diameter present on the left buccal mucosa. The ulcer was bordered by well-defined margins around which were several small nodular swellings. On palpation, the ulcer was tender with indurated margins. The other mucosal surfaces in the mouth were normal. Panoramic radiographs did not reveal any abnormality in the maxillofacial region.
