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In patients receiving consecutive PD-1 inhibitor and anti-EGFR antibody treatment, DLI is frequently observed. A question mark hangs over the connection between the epithelium's thickness and the conclusions drawn from colposcopic examinations. This research was designed to identify a possible connection between colposcopic underdiagnosis of cervical intraepithelial neoplasia (CIN) and thin, high-grade squamous intraepithelial lesions (HSILs) observed on the