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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: 149

  • Age: 38

  • Before application of acetic acid: The cervix is covered with frothy discharge characteristic of trichomoniasis.

  • 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: The SCJ is fully visible. A thin acetowhite area with sharp margins is present in the TZ at the 12–2 o’clock position.

  • 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: Although the lesion is detached from the SCJ, the presence of acetowhite areas in the TZ located close to the SCJ should be considered as VIA-positive.





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