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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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VIA-positive cases                                                                              Click to return to the atlas
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  • Case: 105

  • Age: 36

  • 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:  
    • Acetowhite area:  
      • If present, description of acetowhite area:
        • Colour:  
        • Margin:  
        • Surface:  
        • Location:  
        • Size:  

  • VIA category:  

  • 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.





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