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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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VIA-positive cases                                                                              Click to return to the atlas
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  • Case: 95

  • Age: 31

  • Before application of acetic acid: The cervix is covered with normal mucoid discharge.

  • Cervix before application of acetic acid:  

  • After application of acetic acid: The mucus is pushed to one side to visualize the SCJ. Thin acetowhite areas with feathery margins are visible at the 1 o’clock position.

  • 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:  

  • Determined eligibility for ablative treatment:  

  • Histopathology: Not done

  • Remarks: Thin acetowhite areas with feathery margins are suggestive of squamous metaplasia. However, the lesion is opaque and the margins are distinct. It is better to categorize the lesion as VIA-positive.





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