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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: 128

  • Age: 37

  • Before application of acetic acid: The cervix appears congested.

  • Cervix before application of acetic acid:  

  • After application of acetic acid: Dense acetowhite epithelium with sharp margins is present close to the external os on both the anterior and posterior lips. The lesion extends into the endocervical canal. Areas of peeled-off epithelium (erosion) with bleeding are 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:  

  • After application of Lugol’s iodine: The abnormal epithelium does not stain with Lugol’s iodine.

  • Determined eligibility for ablative treatment:  

  • Histopathology: HSIL-CIN3

  • Remarks: In high-grade disease, the epithelium tends to peel off easily, as seen on the anterior lip at the 12 o’clock position.





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