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Atlas of visual inspection of the cervix with acetic acid for screening, triage, and assessment for treatment

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  • Case: 142

  • Age: 38

    • Before application of acetic acid: Thick tenacious mucus at the external os indicates the luteal phase of the menstrual cycle.

  • Cervix before application of acetic acid:  

    • After application of acetic acid: Multiple thin acetowhite areas attached to the SCJ are seen at the 9 o’clock position, at the 3 o’clock position, and on the posterior lip. A few satellite lesions detached from the SCJ are present on the anterior lip.

  • 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 category:  

    • After application of Lugol’s iodine: The acetowhite lesions do not stain with Lugol’s iodine. The abnormal area to be treated is well delineated. The lesion is more extensive than it appeared after application of acetic acid.

  • Determined eligibility for ablative treatment:  

  • Histopathology: LSIL-CIN1

  • Remarks: Lugol’s iodine helps to identify the true extent and size of the lesion before treatment.





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