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Using HPV tests for cervical cancer screening and managing HPV-positive women – a practical online guide

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  • Age: 53

  • HPV outcome: HPV positive

  • Before application of acetic acid: The view of the cervix is obscured by bleeding.

  • Cervix before application of acetic acid:  
  •  Infective vaginal discharge:   
    Strawberry appearance of cervix
    Cervicitis
    Polyp
    Bleeding on contact
    White patch
    Growth
    Ulcer
    Erosion

    After application of acetic acid: An ulceroproliferative growth with dense acetowhite areas is seen. Bleeding is present from multiple eroded areas. Dense acetowhite areas are visible in patches.

  • Cervix after application of acetic acid:
    • Squamocolumnar junction visibility:  
    • Squamocolumnar junction location:  
    • Acetowhite area:  
      • If present, description of acetowhite area:
        • Colour:  
        • Margin:  
        • Surface:  
        • Location:  
        • Size:  

  • VIA triage outcome category:  

  • Determine eligibility for ablative treatment:  

  • Histopathology: Squamous cell carcinoma

  • Remarks: A large ulceroproliferative growth with surface irregularity is indicative of invasive cancer, and the woman should be promptly referred for diagnosis and treatment.





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