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Age: 40
HPV outcome: HPV positive
Before application of acetic acid: The central red patch is columnar epithelium.
Cervix before application of acetic acid:
After application of acetic acid: Dense acetowhite areas with sharp margins and attached to the SCJ are seen at the 5–7 o’clock position. A few satellite lesions are present on the ectocervix. A thin acetowhite area is present on the anterior lip as well.
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: HSIL-CIN2
Remarks: The outer margin of the lesion is clearly demarcated by the sharp colour contrast seen after application of Lugol’s iodine. The large abnormal iodine-negative area on the ectocervix is not suitable for treatment by ablation.