The current invention provides improved methods and means for the treatment of virally induced intraepithelial neoplasias of the ano-
genital tract, such as HPV induced vulvar-, cervical-, vaginal-, penile- and anal intraepithelial neoplasias (VIN, CIN, VAIN, PIN and AIN). The invention provides a method of treatment of a subject suffering from an anogenital
intraepithelial neoplasia comprising at least the steps of first determining whether the subject has a T-
cell reactivity for viral early antigens, in particular high
risk type HPV antigens; and subsequently a local treatment of the neoplasia with immune modulating compounds eliciting local
inflammation if the subject scores positive for the T-
cell reactivity, preferably a CD4+response against HPV early antigens. The invention also comprises methods and means to induce or further stimulate a cellular immune response against HPV antigens, prior to or during treatment with the immune modulating compound capable of eliciting a local
inflammatory response.