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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: 153

  • Age: 36

  • Before application of acetic acid: A polyp is seen protruding through the external os.

  • Cervix before application of acetic acid:  
  •  Infective vaginal discharge:   
    Strawberry appearance of cervix
    Cervicitis
    Polyp
    Bleeding on contact
    White patch
    Growth
    Ulcer
    Erosion

    After application of acetic acid: A thin acetowhite area attached to the SCJ is seen on the anterior lip at the 12Ė2 oíclock position. An acetowhite area with indistinct margins is present at the 6 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:  

  • After application of Lugolís iodine: The margins of the lesions become prominent because of the colour contrast.

  • Determined eligibility for ablative treatment:  

  • Histopathology: LSIL-CIN1

  • Remarks: Margins of thin acetowhite areas may not always be prominent and may be difficult to assess during treatment. Application of Lugolís iodine helps by providing a sharp colour contrast between the normal epithelium (mahogany or brown) and the abnormal epithelium (yellow), which demarcates the area to be treated.





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