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Case: 162
Age: 38
Before application of acetic acid: The ectocervix is covered by pink mature squamous epithelium. No abnormal discharge is seen.
Cervix before application of acetic acid:
After application of acetic acid: The transparent acetowhite area with feathery margins present at the 12 o’clock position is suggestive of squamous metaplasia. On the posterior lip, a dense acetowhite area with sharp margins can be seen detached from the SCJ.
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:
Determined eligibility for ablative treatment:
Histopathology: Posterior lip: LSIL-HPV changes
Remarks: The denser acetowhite area on the posterior lip is a flat condyloma caused by infection with low-risk HPV types.