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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: 119

  • Age: 33

  • Before application of acetic acid: The cervix is covered with normal mucoid discharge. The central red patch is columnar epithelium.

  • Cervix before application of acetic acid:  

  • After application of acetic acid: A dense acetowhite area attached to the SCJ is present at the 6–9 o’clock position. Bleeding on the columnar epithelium is due to injury caused during examination.

  • 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 margins of the lesion become prominent and help to delineate the area to be treated.

  • Determined eligibility for ablative treatment:  

  • Histopathology: HSIL-CIN2

  • Remarks: The transformation zone including the lesion can be treated by either cryotherapy or thermal ablation.





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