**CASE DISCUSSION** **Case description:** *64-year-old female presented requesting a routine dental examination, having not seen a dentist in 2 years. She was not aware of any oral mucosal problems, although on closer questioning did give a 1-month history of mild discomfort when eating affecting her right palatal mucosa. She also gave a history of recurrent (albeit infrequent) oral ulcers for as long as she can remember, which do not normally bother her. Her medical history is significant for ovarian cancer managed with Caelyx (doxorubicin hydrochloride). She reported smoking 1-2 cigarettes per day but denied any significant alcohol use.* **Activity:** 1. Identify the pathosis and describe the clinical features 2. What is the differential diagnosis? 3. What are the relevant clinical investigations? 4. What is the diagnosis? 5. How would you manage this patient?  #### Patient Presentation and Chief Complaint A 64-year-old female presented for a routine dental examination after a two-year absence from dental care. While the patient was initially unaware of any oral mucosal issues, further questioning revealed a one-month history of mild discomfort in the right palatal mucosa during eating. #### Medical and Social History - **Medical History:** Significant for ovarian cancer, currently managed with Caelyx (doxorubicin hydrochloride). - **Oral History:** Long-standing history of recurrent, infrequent oral ulcers that typically do not cause significant distress. - **Social History:** - Smoking: 1-2 cigarettes per day. - Alcohol: No significant use reported. #### Case Discussion Activity 1. Identify the pathosis and describe the clinical features. 2. What is the differential diagnosis? 3. What are the relevant clinical investigations? 4. What is the diagnosis? 5. How would you manage this patient? An intraoral photograph displaying the maxillary arch, showing teeth and the palatal mucosa. This clinical image illustrates the oral condition of the 64-year-old female patient described below, specifically showing the palate where she reported discomfort and recurrent ulcers. [^1]: Original PDF page 1: [[CASE 1.pdf#page=1|CASE 1, p.1]]