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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: 181

  • Age: 50

  • Before application of acetic acid: A nodular growth is present on the anterior lip, with bleeding on contact.

  • 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: Dense acetowhite areas are visible on the growth. Surface irregularity is prominent. The multiple red patches are eroded areas.

  • 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: Squamous cell carcinoma

  • Remarks: Most of the growth has not turned white after application of acetic acid; this is not uncommon in invasive cancer.





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