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Age: 45
HPV outcome: HPV positive
Before application of acetic acid: The cervix is congested and bleeds on contact.
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: Surface irregularity is present. A large dense acetowhite area is seen occupying all four quadrants of the cervix.
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: Invasive squamous cell carcinoma
Remarks: On VIA, dense acetowhite areas with an irregular surface and contact bleeding should be suspected as cancer, and the woman should be promptly referred for further management.