VIA procedure Ė Examination after application of 5% acetic acid Ė Abnormal features Ė Surface of acetowhite area
Most acetowhite areas have a smooth surface. Condylomata may have a pitted surface appearance. Invasive cancer should be suspected when there is a large dense acetowhite area with an irregular surface and contact bleeding. An obvious growth or ulcer should always be diagnosed as suspicious of invasive cancer on VIA.
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