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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: 73

  • Age: 40

  • Before application of acetic acid: The ectocervix is covered by smooth pink squamous epithelium. A red patch of columnar epithelium is seen around the external os.

  • Cervix before application of acetic acid:  

  • After application of acetic acid: A thin transparent layer of metaplastic epithelium is seen projecting towards the external os.

  • 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: The transparent acetowhitening without a distinct margin is due to squamous metaplasia.





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