Barely Significant
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Turner syndrome: don't forget the vulva.

Endocrinol Diabetes Metab Case Rep · 2016 · PMC4870723 · PMID 27252865

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a decreasing trendno p-value reported
A recent epidemiological study from the UK suggests a decreasing trend of vulvar SCC in older women, attributed to a better surveillance of precancerous conditions such as LS and lichen planus.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.