Before application of acetic acid: The cervix is covered with thin mucoid discharge.
Cervix before application of acetic acid:
After application of acetic acid: Multiple thin milky white areas with geographical margins and detached from the SCJ are visible on both the anterior and posterior lips. A thin acetowhite area with distinct and regular margin is at 4 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:
Histopathology: Not done
Remarks: Milky white areas with geographical margins, detached from the SCJ and mostly outside the TZ, are typical of HPV infections caused by low-risk HPV types. The characteristic satellite lesions also help in diagnosis. This particular case is VIA-positive because of the acetowhite lesion that is attached to SCJ and has a well-defined margin.