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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-negative cases                                                                            Click to return to the atlas
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  • Case: 69

  • Age: 43

  • Before application of acetic acid: Multiparous cervix. A nabothian cyst is present on the posterior lip at the 7 o’clock position.

  • Cervix before application of acetic acid:  
  • Nabothian cyst

    After application of acetic acid: The SCJ is fully visible. Diffuse acetowhite areas in the TZ tend to blend with the surrounding mature pink squamous epithelium.

  • 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 (if HPV-positive):  

  • Histopathology: Not done

  • Remarks: Diffuse acetowhite areas with indistinct margins are categorized as VIA-negative. Such features are due to squamous metaplasia. The metaplastic epithelium is part of the transformation zone.





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