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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: 117

  • Age: 36

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

  • Cervix before application of acetic acid:  
  • Ectropion

    After application of acetic acid: The SCJ is fully visible. A large acetowhite area with sharp margins is seen occupying all four quadrants of the cervix.

  • 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 acetowhite area does not stain with Lugol’s iodine.

  • Determined eligibility for ablative treatment:  

  • Histopathology: HSIL-CIN2

  • Remarks: Lugol’s iodine clearly demarcates the large abnormal area on the ectocervix. Such large lesions occupying all four quadrants of the cervix are not suitable for treatment by ablation.





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