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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: 99

  • Age: 33

  • Before application of acetic acid: The cervix is exposed adequately. No abnormal discharge is seen.

  • Cervix before application of acetic acid:  

  • After application of acetic acid: The SCJ becomes prominent. A thin acetowhite area with sharp but irregular margins is visible at the 12Ė2 oíclock 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:  

  • Determined eligibility for ablative treatment:  

  • Histopathology: Normal

  • Remarks: Thin acetowhite areas due to squamous metaplasia are often indistinguishable from low-grade precancers. There is a definite acetowhite area with well-defined margins. The VIA outcome should be positive.





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