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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: 66

  • Age: 40

  • Before application of acetic acid: Thin mucoid discharge is seen at the external os.

  • Cervix before application of acetic acid:  

  • After application of acetic acid: The SCJ is fully visible. A diffuse acetowhite area is seen in the TZ.

  • 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: Diffuse acetowhite areas on the ectocervix are due to squamous metaplasia and are part of the transformation zone. Sometimes thick mucus may give the appearance of an acetowhite patch. It can be easily manipulated with a moist cotton swab.





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