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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-negative cases                                                                            Click to return to the atlas
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  • Case: 90

  • Age: 39

  • Before application of acetic acid: The cervix is covered with menstrual blood.

  • Cervix before application of acetic acid:  

  • After application of acetic acid: Acetic acid helps to clean the menstrual blood. The SCJ is fully visible at the external os. Thin milky white areas with irregular margins are present outside the TZ at the 7 oíclock 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: VIA can be satisfactorily performed during menstruation if there is not much bleeding. Acetowhite areas located away from the SCJ should be considered as VIA-negative.





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