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[90] evaluated the degree of agreement of the histopathological grading systems in samples collected by incisional techniques (punch, Tru-cut needle and similar devices, and collection with a scalpel) compared to those collected by excisional biopsy, and observed agreement of 96% by the system of Patnaik and 92% by the Kiupel system

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Conversely, vaginal dysbiosis is marked by reduced levels of Lactobacilli and elevated levels of CST IV microbiota (Auriemma et al., 2021)