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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: 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.





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