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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
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  • Age: 55

  • HPV outcome: HPV positive

  • Before application of acetic acid: A red elevated area is present at the centre of the cervix.

  • 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: The columnar epithelium turns dense acetowhite, with raised margins and an irregular surface. There is contact bleeding from the surface.

  • 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: Adenocarcinoma

  • Remarks: Dense acetowhite areas with surface irregularity are visible on the columnar epithelium. On visual examination, it often becomes difficult to identify the columnar epithelium, because the epithelium loses its characteristic features due to the presence of the growth. However, the dense acetowhite area, raised margins, irregular surface, and contact bleeding indicate cancer.





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