60y/o male with essential thrombosis high platelets on 1000m | Figure 1

60y/o male with essential thrombosis high platelets on 1000mg Hydra/d and 75mg Aspirin/d presented to clinic with severe mouth cankers largest 10mm on tongue patient has difficulty eating and taking fluids. Tried the usual mouthwash and OTC gels but little success. Suggestions please

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