Home / Training / Manuals / Atlas of visual inspection of the cervix with acetic acid for screening, triage, and assessment for treatment / Cases

Atlas of visual inspection of the cervix with acetic acid for screening, triage, and assessment for treatment

Filter by language: English / FranÁais / EspaŮol / Русский / українська
VIA-positive cases                                                                              Click to return to the atlas
                                                                                                                         Click on the pictures to magnify and display the legends


  
  • Case: 106

  • Age: 43

  • Before application of acetic acid: The cervix appears normal.

  • Cervix before application of acetic acid:  

  • After application of acetic acid: A large dense acetowhite area with well-defined margins is seen on both the anterior and posterior lips, occupying more than 75% of the ectocervix.

  • 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 acetowhite area turns mustard yellow.

  • Determined eligibility for ablative treatment:  

  • Histopathology: HSIL-CIN3

  • Remarks: A dense acetowhite area with well-demarcated margins indicates the presence of high-grade disease. Application of Lugolís iodine helps to delineate the abnormal area by providing a sharp colour contrast. Such large lesions are not suitable for treatment by ablation.





  •   
    IARC, 150 Cours Albert Thomas, 69372 Lyon CEDEX 08, France - Tel: +33 (0)4 72 73 84 85 - Fax: +33 (0)4 72 73 85 75
    © IARC 2023 - All Rights Reserved.