Case |
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After acetic acid |
After acetic acid |
After acetic acid |
After Lugol’s iodine |
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Nil or transparent | Thin, milky | Distinct, stearin | |
Nil or diffuse | Sharp but irregular, jagged, satellites | Sharp and even, difference in level | |
Fine, regular | Absent | Coarse or atypical vessels | |
< 5 mm | 5-15 mm or 2 quadrants | >15 mm, 3-4 quadrants, or endocervically undefined | |
Brown | Faintly or patchy yellow | Distinctly yellow |
Provisional diagnosis: | Type 1 transformation zone; low-grade Squamous intraepithelial lesion (LSIL) with ectropion. |
Management: | Punch biopsy from 11 o’clock position. |
Histopathology: | Normal. |
Comment: | Acetowhite areas due to metaplasia are sometimes indistinguishable from low-grade lesions. |
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