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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: 148

  • Age: 37

  • Before application of acetic acid: The ectocervix is covered by mature squamous epithelium, which appears pink. A small red mucous polyp is seen protruding through the external os.

  • Cervix before application of acetic acid:  
  •  Infective vaginal discharge:   
    Strawberry appearance of cervix
    Cervicitis
    Polyp
    Bleeding on contact
    White patch
    Growth
    Ulcer
    Erosion

    After application of acetic acid: A thin acetowhite area with geographical margins is seen on the posterior 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:  

  • Determined eligibility for ablative treatment:  

  • Histopathology: LSIL-HPV changes

  • Remarks: On closer inspection, the lesion is touching the SCJ. Because it is located in the TZ, the lesion should be categorized as VIA-positive. Cervix looks inflammed and treatment for cervicitis should be given.





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