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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: 144

  • Age: 41

  • Before application of acetic acid: The cervix appears normal. The SCJ is fully visible around the external os.

  • Cervix before application of acetic acid:  

  • After application of acetic acid: Thin milky white areas with geographical margins and arising from the SCJ are present on both the anterior and posterior lips.

  • 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 lesion appears patchy yellow. A few satellite lesions become prominent because of the colour contrast.

  • Determined eligibility for ablative treatment:  

  • Histopathology: LSIL-CIN1

  • Remarks: The lesion may not be adequately covered by the largest cryotherapy probe. In such situations, treatment by multiple overlapping applications of the thermal ablation probe is preferred.





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