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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: 125

  • Age: 42

  • Before application of acetic acid: No abnormal discharge is seen.

  • Cervix before application of acetic acid:  

  • After application of acetic acid: A large dense acetowhite area with raised margins is visible. On the anterior lip the lesion is seen extending towards the vaginal wall.

  • 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: HSIL-CIN3

  • Remarks: The dense acetowhite area with raised margins indicates the presence of high-grade disease. Although the SCJ is fully visible and the lesion occupies less than 75% of the ectocervix, a lesion extending to the vagina should not be treated with ablation.





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