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Bilateral ovarian cysts with squamous intraepithelial neoplasia.

We report a case of bilateral ovarian cysts lined exclusively by squamous epithelium showing multifocal intraepithelial neoplasia. The cervix showed synchronous high-grade intraepithelial neoplasia (CIN III). We interpreted the ovarian lesions as squamous carcinoma of borderline malignancy and believe that they are part of a "field change" that also involves the cervix.