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DLI is a common observation in patients undergoing sequential treatment with PD-1 inhibitors and anti-EGFR antibodies. A question mark hangs over the connection between the epithelium's thickness and the conclusions drawn from colposcopic examinations. The objective of this study was to examine whether colposcopic misdiagnosis of cervical intraepithelial neoplasia (CIN) could be a predictor of the presence of