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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: 126

  • Age: 40

  • Before application of acetic acid: The central red patch is columnar epithelium.

  • Cervix before application of acetic acid:  

  • After application of acetic acid: Dense acetowhite areas with sharp margins and attached to the SCJ are seen at the 5Ė7 oíclock position. A few satellite lesions are present on the ectocervix. A thin acetowhite area is present on the anterior lip as well.

  • 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 lesion are well delineated. The dense acetowhite area appears bright mustard yellow.

  • Determined eligibility for ablative treatment:  

  • Histopathology: HSIL-CIN2

  • Remarks: The outer margin of the lesion is clearly demarcated by the sharp colour contrast seen after application of Lugolís iodine. The large abnormal iodine-negative area on the ectocervix is not suitable for treatment by ablation.





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