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 oíclock position.
Cervix after application of acetic acid:
Squamocolumnar junction visibility:
Squamocolumnar junction location:
If present, description of acetowhite area:
After application of Lugolís iodine: The abnormal epithelium does not stain with Lugolís iodine.
Determined eligibility for ablative treatment:
Remarks: In high-grade disease, the epithelium tends to peel off easily, as seen on the anterior lip at the 12 oíclock position.