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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: 122

  • Age: 48

  • Before application of acetic acid: The cervix is covered with normal mucoid discharge.

  • Cervix before application of acetic acid:  

  • After application of acetic acid: A large dense acetowhite area with sharp margins is seen occupying all four quadrants of the cervix. A thin acetowhite area occupies the entire posterior lip. The lesion extends into the endocervical canal.

  • 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:  

  • After application of Lugolís iodine: The acetowhite area has not taken up Lugolís iodine.

  • Determined eligibility for ablative treatment:  

  • Histopathology: HSIL-CIN3

  • Remarks: Acetowhite areas extending into the endocervical canal are not suitable for treatment by ablative methods.





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