LSIL with koilocytosis suggestive of
condyloma or HPV effect
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An abnormality in the appearance of the cells of the skin of the cervix
which suggests the presence of condyloma (venereal warts). Condyloma are not by themselves
dangerous, but require further investigation, because:
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Condyloma are caused by HPV, the same virus which is
associated with cervical dysplasia and cancer
of the cervix.
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The Pap changes which suggest condyloma have basically the same clinical
significance as the changes suggesting low grade intraepithelial lesions (LGSIL),
CIN I, and mild dysplasia.
Patients demonstrating condyloma on their Pap smears who previously had
normal Paps are ideally evaluated with colposcopy and cervical
biopsies to determine the precise diagnosis, extent of the problem, and rule out other,
more significant illness. If operational requirements make prompt evaluation difficult or
dangerous, colposcopy can usually be safely delayed for weeks to a few months.
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