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5 %) had endometrial cancer. Age was not associated with high-risk histology (p = 0.289). High-risk colposcopic appearance had good positive predictive value (90.0 %; 95 %CI 81.2-95.6 %) for high-risk histology, but poor negative predictive value (41.3 %; 95 %CI 29-54 %). Negative excision margin was associated with favourable outcomes. NC and EC are rare, but they are distinct and should be reported separately in future studies. The risks of malignancies are high, particularly in women with NC, even if they are asymptomatic. Thus, promp