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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: 163

  • Age: 35

  • Before application of acetic acid: Red columnar epithelium is seen around the external os.

  • Cervix before application of acetic acid:  

  • After application of acetic acid: A thin acetowhite patch attached to the SCJ is seen at the 4–7 o’clock position. A satellite lesion is present in the TZ at the 8 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 acetowhite areas appear patchy yellow.

  • Determined eligibility for ablative treatment:  

  • Histopathology: LSIL-CIN1

  • Remarks: Lugol’s iodine sharply demarcates the area to be treated. The small satellite lesion detached from the SCJ on the posterior lip does not need to be treated.





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