A Postmenopausal woman presents with pruritic white lesions on the vulva. Punch biopsy of a representative area is obtained. Which of the following histologic findings is consistent with the diagnosis of Lichen sclerosis?

Lichen Sclerosis Small bluish-white papules that coalesce into white papules Pruritus('Itch-scratch' cycle), dyspareunia, dysuria Histology-Moderate hyperkeratosis with epithelial thinning, acanthosis, basement membrane thickening. Loss of rete hyalinization in dermis Ca vulva of Keratinizing types which is Unifocal and seen in older patients, is found in areas adjacent to lichen sclerosis and squamous hyperplasia. Biopsy for Diagnosis Rx- Testosterone cream