患者，女，４５岁。因外阴起黑褐色小疙瘩４个月就诊。患者在１９９６年１月洗浴时无意中发现外阴有数个米粒大至绿豆大黑褐色小疙瘩，不痛、不痒，不断增多，曾在当地医院做病理活检（三次），均提示鳞状上皮呈中度不典型增生，于１９９６年４月前来就诊。既住史、个人史、婚? Patient, female, 45 years old. Due to genital dark brown small lump 4 months treatment. Patient bathing in January 1996 inadvertently found a few grains of the genitals as large brown bean green lumps, no pain, itching, increasing, had done in the local hospital biopsy (three times), were prompted to show squamous epithelium Moderate dysplasia, in April 1996 to come to see a doctor. Both living history, personal history, marriage?