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Before application of acetic acid: Red velvety columnar epithelium is visible at the centre of the cervix, surrounded by pink squamous epithelium.
Cervix before application of acetic acid:
After application of acetic acid: The columnar epithelium appears white temporarily. The SCJ is fully visible. Thin acetowhite areas with diffuse margins are seen on the anterior lip at the 10Ė2 oíclock position.
Cervix after application of acetic acid:
Squamocolumnar junction visibility:
Squamocolumnar junction location:
If present, description of acetowhite area:
Determined eligibility for ablative treatment (if HPV-positive):
Remarks: Transparent acetowhite areas in the TZ with irregular diffuse margins are indicative of squamous metaplasia. However, if there is doubt in interpretation, it is always prudent to categorize the cervix as VIA-positive.