Before application of acetic acid: The cervix appears normal. Nabothian cysts are present at the 12 o’clock position.
Cervix before application of acetic acid:
After application of acetic acid: Thin acetowhite epithelium with tongue-shaped projections is seen in the TZ at the 11 o’clock and 1 o’clock positions.
Cervix after application of acetic acid:
Squamocolumnar junction visibility:
Squamocolumnar junction location:
If present, description of acetowhite area:
Determined eligibility for ablative treatment:
Remarks: Tongue-shaped thin acetowhite areas projecting towards the external os indicate squamous metaplasia. However, the lesion is opaque and the margin is distinct. It is better to categorize the lesion as VIA-positive.