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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: 138

  • Age: 33

    • Before application of acetic acid: The cervix appears normal. The SCJ is fully visible.

  • Cervix before application of acetic acid:  

    • After application of acetic acid: Thin acetowhite areas attached to the SCJ are seen on the anterior lip. The lesions at the 10 o’clock position and the 1 o’clock position have irregular margins.

  • 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 margins of the lesions are well defined by the colour contrast between the yellow iodine-negative area of the lesion and the brown normal squamous epithelium.

  • Determined eligibility for ablative treatment:  

  • Histopathology: Anterior lip (10 o’clock): LSIL-CIN1

  • Remarks: Thin acetowhite areas with angular margins are more often due to infection with low-risk HPV types, but they can also harbour CIN1.





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