Case 43281

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Abstract
Presentation of Case First admission. A seventy-year-old man entered the hospital because of a sore mouth.Four weeks previously he noted swelling, with ulceration and soreness, of the buccal mucosa. The ulceration gradually spread to involve the tongue and palate, so that he was unable to eat solid foods. There were no chills, fever or malaise. There was no known exposure to hematopoietic depressants.During the three years before admission there were mild symptoms of prostatism.Physical examination showed a pale man in no acute distress. Examination of the mouth revealed three shallow ulcerations that measured 1 cm. in diameter, . . .