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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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VIA-positive cases Click to return to the atlas Click on the pictures to magnify and display the legendsBefore application of acetic acid: A large nabothian cyst is present on the posterior lip. On closer inspection, the blood vessels appear prominent on the surface of the cyst.After application of acetic acid: A dense acetowhite area with sharp margins is present at the 12 oíclock position, with extension into the endocervical canal. The SCJ is not visible.
|Cervix after application of acetic acid:|
- Squamocolumnar junction visibility:
- Squamocolumnar junction location:
- Acetowhite area:
- If present, description of acetowhite area:
After application of Lugolís iodine: The lesion appears bright mustard yellow, with well-delineated margins.
Determined eligibility for ablative treatment:
|Remarks: Lesions extending into the endocervical canal should not be treated by ablation. The size of the lesion is much clearer after application of Lugolís iodine.|
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