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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-positive cases Click to return to the atlas Click on the pictures to magnify and display the legendsBefore application of acetic acid: The cervix appears normal. Note the ďfish mouthĒ appearance of the external os.
After application of acetic acid: Dense acetowhite areas are present on both the anterior and posterior lips. The lesion extends into the endocervical canal.
|Cervix before application of acetic acid: |
|Cervix after application of acetic acid:|
- Squamocolumnar junction visibility:
- Squamocolumnar junction location:
- Acetowhite area:
- If present, description of acetowhite area:
After application of Lugolís iodine: Lugol's iodine clearly demarcates the abnormal area, which appears bright mustard yellow and occupies all four quadrants of the cervix.
Determined eligibility for ablative treatment:
|Remarks: Large dense acetowhite areas with extension into the endocervical canal are not suitable for treatment by ablative methods.|
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