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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: 83

  • Age: 31

  • Before application of acetic acid: Large ectropion occupying most of the ectocervix.

  • Cervix before application of acetic acid:  
  • Ectropion

    After application of acetic acid: Patchy transparent acetowhite areas are seen on the columnar epithelium. A tongue-shaped projection of metaplastic epithelium is seen at the 12 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 (if HPV-positive):  

  • Histopathology: Not done

  • Remarks: Thin sheets of acetowhite epithelium projecting towards the external os and gradually covering the ectropion are indicative of squamous metaplasia.





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