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Atlas of visual inspection of the cervix with acetic acid for screening, triage, and assessment for treatment

VIA-suspicious of cancer cases                                                 Click to return to the atlas
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  • Case: 186

  • Age: 46

  • Before application of acetic acid: The cervix is obscured by copious mucopurulent discharge.

  • Cervix before application of acetic acid:  
  •  Infective vaginal discharge:   
    Strawberry appearance of cervix
    Cervicitis
    Polyp
    Bleeding on contact
    White patch
    Growth
    Ulcer
    Erosion

    After application of acetic acid: A large dense acetowhite area occupies almost the entire cervix. Surface irregularity is present.

  • 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: Squamous cell carcinoma

  • Remarks: The lesion is large and the surface is irregular closer to the external os. The multiple bleeding points on the surface of the lesion should also raise the suspicion of invasive cancer.







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