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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 (VIA triage outcome category)-negative cases                                                                            Click to return to the atlas
                                                                                                                         Click on the pictures to magnify and display the legends


  
  • Age: 35

  • HPV outcome: HPV positive

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

  • Cervix before application of acetic acid:  

  • After application of acetic acid: Milky white areas with geographical margins are visible at the 6 o’clock position, detached from the SCJ. Note the satellite lesion at the 8 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 (applicable in screen & treat setting only):  

  • Determine eligibility for ablative treatment:  

  • Histopathology: LSIL-HPV changes

  • Remarks: Milky white areas with geographical margins located away from the SCJ are due to HPV infection. These are also known as flat condylomata. The presence of satellite lesions is also characteristic of HPV infection.





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    Click on the following link to view examples of negative, positive or suspicious of cancer cases.

    For more cases with VIA triaging visit the Atlas of visual inspection of the cervix with acetic acid for screening, triage, and assessment for treatment.

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