A 29 year old woman presented to the gynaecology services with a history of cervical smear cytology and punch biopsy showing human papillomavirus related changes, associated with moderate dyskaryosis. She had undergone laser loop excision biopsy of the transformation zone (LLETZ) two years before for previous abnormal smears. This showed moderate dysplasia in the ectocervical epithelium, but was otherwise unremarkable. A second laser loop biopsy was performed. This was received in the histopathology department in two pieces, 1.5 and 1.2 cm in greatest dimension, respectively. On microscopic examination, focal mild squamous …