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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: Thick mucus sticks to the cervix. A small polyp is visible through the external os.After application of acetic acid: When there are lesions of different severity, the final diagnosis should always consider the most severe lesion.
|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 lesion shows patchy iodine non-uptake areas, giving rise to a faint yellow colour.
Determined eligibility for ablative treatment:
Histopathology: Posterior lip: LSIL-HPV changes; Anterior lip: Normal
|Remarks: Acetowhite lesions with geographical margins are characteristic of HPV infection, but they may harbour low-grade precancers and should be considered as VIA-positive.|
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