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S13C21P19-2: At higher magnification, the atypia in the areas of koilocytosis is moderate. There are scattered, atypical, dyskeratotic cells and occasional mitotic figures. The lesion
shows markers for a papilloma virus infection but, from another perspective, the changes qualify as a moderate keratinocytic dysplasia (atypical condyloma acuminatum). In this lesion, a transitional stage
from infection to mild/moderate dysplasia is represented; the lesion is at the borderland between verruca and keratinocytic dysplasia of bowenoid type.
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