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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: 108

  • Age: 36

  • 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 o’clock position. A small satellite lesion is seen at the 1 o’clock position, located away from the 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: LSIL-CIN1

  • 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.





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