April 28, 2026 · Journal of lower genital tract disease · DOI: 10.1097/LGT.0000000000000956

Vulvar Low-Grade Squamous Intraepithelial Lesion (LSIL) and Small Condyloma are Overlapping Clinicopathologic Entities

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The authors aim to clarify the clinicopathologic features that differentiate vulvar low-grade squamous intraepithelial lesions (LSIL) from small condylomas to improve diagnostic criteria. Their study reveals that while both conditions share overlapping characteristics, LSIL is typically associated with a smoother surface and higher p16 positivity, whereas condylomas exhibit greater epithelial thickness and irregular morphology. The findings highlight the importance of careful histopathological evaluation in distinguishing these lesions, often discovered incidentally during assessments for other conditions.

Aaron Scolyer, James Scurry, Ross Pagano, Carlos Parra-Herran, Mario Preti, Niccolò Gallio, Eleonora Petra Preti, Tania Day, ISSVD Difficult Pathologic Diagnosis Committee

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