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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: 48

  • HPV outcome: HPV positive

  • Before application of acetic acid: Profuse bleeding obscures the view.

  • 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 ulceroproliferative growth completely replaces the cervix. Dense acetowhite areas are seen on the friable growth.

  • 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: Speculum insertion is often difficult in the presence of extensive friable growth.





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