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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: 43

  • HPV outcome: HPV positive

  • Before application of acetic acid: The cervix appears normal.

  • Cervix before application of acetic acid:  

  • After application of acetic acid: A large dense acetowhite area with well-defined margins is seen on both the anterior and posterior lips, occupying more than 75% of the ectocervix.

  • 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-CIN3

  • Remarks: A dense acetowhite area with well-demarcated margins indicates the presence of high-grade disease. Application of Lugol’s iodine helps to delineate the abnormal area by providing a sharp colour contrast. Such large lesions are not suitable for treatment by ablation.





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