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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: 127

  • Age: 44

  • Before application of acetic acid: The cervix is covered with normal mucoid secretion. The columnar epithelium is visible as a red patch around the external os.

  • Cervix before application of acetic acid:  
  • Ectropion

    After application of acetic acid: Dense acetowhite epithelium attached to the SCJ is present at the 3–5 o’clock position. Thin acetowhite areas with irregular margins are seen on the anterior lip (at the 10–2 o’clock 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: Posterior lip: HSIL-CIN3; Anterior lip: normal

  • Remarks: The denser acetowhite area on the posterior lip indicates the presence of high-grade disease. The thin acetowhite area on the anterior lip may be due to squamous metaplasia or low-grade disease.





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