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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: 151

  • Age: 35

    • Before application of acetic acid: The SCJ is fully visible close to the external os. A small nabothian cyst is present at the 1 o’clock position.

  • Cervix before application of acetic acid:  
    • Nabothian cyst

    After application of acetic acid: The outer limit of the TZ can be well delineated by the position of the nabothian cyst on the anterior lip. A thin acetowhite area with sharp margins and attached to the SCJ is present in the TZ. A small satellite lesion is seen at the 12 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:  

    • After application of Lugol’s iodine: The lesion is well delineated by the colour contrast between the yellow abnormal epithelium and the brown normal epithelium, which demarcates the area to be treated.

  • Determined eligibility for ablative treatment:  

  • Histopathology: LSIL-CIN1

  • Remarks: The lesion can be treated by either cryotherapy or thermal ablation.





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