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Before application of acetic acid: The cervix is covered with copious curdy white discharge suggestive of candidiasis.
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: Acetic acid clears the discharge, and the SCJ becomes fully visible. Thin acetowhite areas with geographical margins are present at the 12 oíclock position. A small satellite lesion is seen at the 1 oíclock position, located away from the SCJ.
Cervix after application of acetic acid:
Squamocolumnar junction visibility:
Squamocolumnar junction location:
If present, description of acetowhite area:
Determined eligibility for ablative treatment:
Remarks: Acetowhite patches with geographical margins and satellite lesions are due to HPV infections. These lesions caused by infection with low-risk HPV types are called flat condylomata. Such lesions present in the transformation zone are indistinguishable from low-grade precancers.