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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: 135

  • Age: 37

  • Before application of acetic acid: The cervix appears normal.

  • Cervix before application of acetic acid:  

  • After application of acetic acid: Multiple thin acetowhite areas with irregular margins are seen on both the anterior and posterior lips. Satellite lesions detached from the SCJ are present on the ectocervix.

  • 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 lesions show patchy iodine non-uptake areas.

  • Determined eligibility for ablative treatment:  

  • Histopathology: LSIL-CIN1

  • Remarks: Lugol’s iodine clearly demarcates the margins of the lesions, which can be treated by either cryotherapy or thermal ablation.





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