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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: 97

  • Age: 36

  • Before application of acetic acid: Hypertrophied cervix. A nabothian cyst is present at the 10 oíclock position.

  • Cervix before application of acetic acid:  
  • Nabothian cyst

    After application of acetic acid: The white area at the 6 oíclock position is opaque and has a smooth well-defined outer margin. It is difficult to assess continuity with SCJ.

  • 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 area is on the TZ though the continuity with SCJ is not very distinct. The case should be considered as VIA-positive due to the features of the acetowhite area. Application of Lugolís iodine would have helped to delineate the complete lesion better.





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