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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 Click on the pictures to magnify and display the legendsBefore application of acetic acid: The columnar epithelium is visible as a central red patch.After application of acetic acid: A thin acetowhite area with irregular margins and attached to the SCJ is present at the 12Ė2 oíclock position.
|Cervix after application of acetic acid:|
- Squamocolumnar junction visibility:
- Squamocolumnar junction location:
- Acetowhite area:
- If present, description of acetowhite area:
After application of Lugolís iodine: The acetowhite area appears patchy yellow.
Determined eligibility for ablative treatment:
|Remarks: Sometimes acetowhite areas due to squamous metaplasia are indistinguishable from low-grade lesions. When in doubt, the lesion should be categorized as VIA-positive.|
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