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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: 55

  • HPV outcome: HPV positive

  • Before application of acetic acid: The cervix is not visualized clearly, because of 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 obvious growth is present. The external os is not visible and is obscured by bleeding from the growth.

  • Cervix after application of acetic acid:
    • Squamocolumnar junction visibility:  
    • Squamocolumnar junction location:  
    • Acetowhite area:  

  • VIA triage outcome category:  

  • Determine eligibility for ablative treatment:  

  • Histopathology: Squamous cell carcinoma

  • Remarks: Bleeding from a growth can obscure features and make VIA assessment and interpretation difficult. In such cases, acetowhite changes may or may not be visible.





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