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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: 72

  • Age: 42

  • Before application of acetic acid: Parous cervix. Thin mucoid discharge is seen near the external os. The SCJ is fully visible.

  • Cervix before application of acetic acid:  

  • After application of acetic acid: No acetowhite area in the TZ. Notice the white mucus near the SCJ and the multiple light reflections over both the anterior and posterior lips. Blue line: SCJ on the ectocervix

  • Cervix after application of acetic acid:
    • Squamocolumnar junction visibility:  
    • Squamocolumnar junction location:  
    • Acetowhite area:  

  • VIA category:  

  • Determined eligibility for ablative treatment (if HPV-positive):  

  • Histopathology: Not done

  • Remarks: The mucus becomes thick and white after application of acetic acid. It may sometimes be confused with an acetowhite area. The mucus can be easily removed with a moist cotton swab.





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