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

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VIA triage outcome-suspicious of cancer cases                                                 Click to return to the atlas
                                                                                                                         Click on the pictures to magnify and display the legends


  • Age: 46

  • HPV outcome: HPV positive

  • Before application of acetic acid: The cervix is obscured by copious mucopurulent discharge.

  • 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: A large dense acetowhite area occupies almost the entire cervix. Surface irregularity is present.

  • 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: The lesion is large and the surface is irregular closer to the external os. The multiple bleeding points on the surface of the lesion should also raise the suspicion of invasive cancer.







  • Click on the following link to view examples of negative, positive or suspicious of cancer cases.

    For more cases with VIA triaging visit the Atlas of visual inspection of the cervix with acetic acid for screening, triage, and assessment for treatment.

    Click to return to the atlas
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