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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: 81

  • Age: 30

  • Before application of acetic acid: The central red patch is columnar epithelium, and the peripheral pink area is covered by squamous epithelium.

  • Cervix before application of acetic acid:  
  • Ectropion

    After application of acetic acid: The SCJ is fully visible. Multiple advancing edges of epithelium projecting towards the external os are seen on both the anterior and posterior lips.

  • Cervix after application of acetic acid:
    • Squamocolumnar junction visibility:  
    • Squamocolumnar junction location:  
    • Acetowhite area:  

  • VIA category:  

  • Determined eligibility for ablative treatment (if HPV-positive):  

  • Histopathology: Not done

  • Remarks: Transparent tongue-shaped areas of squamous epithelium projecting towards the external os are characteristic of squamous metaplasia.





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