A 54-year-old male presents to the GP with 1 week history of sore throat. He denies coughing, runny nose or temperature. On examination, the tonsils are unremarkable but there is an ulcer on the left soft palate. When asked about the ulcer, he says he first noticed it 4 weeks ago and it has not changed in size since then. The ulcer has become painful recently and occasionally bleeds. He has had mouth ulcers many times before, and he is aware of his very poor diet with hardly any fruit and vegetables. He is a heavy smoker and drinks alcohol daily. He has no significant past medical history.
What is the most likely diagnosis?
- A) Squamous cell carcinoma
- B) Oral leukoplakia
- C) Vitamin C deficiency
- D) Erythema multiforme minor
- E) Crohn’s disease
ASCENT 