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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: 47

  • 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 raised margins is seen on the anterior lip, with extension to the vagina. Areas of peeled-off epithelium (erosion) are present at the 5–7 o’clock position and at the 12 o’clock position.

  • 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: Microinvasive squamous cell carcinoma

  • Remarks: A large lesion extending to the vagina with extensive eroded areas should be suspected as high-grade disease or even cancer.





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