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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: 139

  • Age: 45

  • Before application of acetic acid: Normal mucoid discharge is seen on the ectocervix.

  • Cervix before application of acetic acid:  

  • After application of acetic acid: The SCJ is fully visible at the external os. The outer limit of the TZ can be well delineated by the position of the nabothian cyst at the 12 o’clock position. A small thin acetowhite area with sharp margins and attached to the SCJ is present in the TZ.

  • 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 area appears yellow. The rest of the cervix is uniformly stained with Lugol’s iodine.

  • Determined eligibility for ablative treatment:  

  • Histopathology: LSIL-CIN1

  • Remarks: None.





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