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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: 88

  • Age: 35

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

  • Cervix before application of acetic acid:  

  • After application of acetic acid: Milky white areas with geographical margins are visible at the 6 o’clock position, detached from the SCJ. Note the satellite lesion at the 8 o’clock position.

  • 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: LSIL-HPV changes

  • Remarks: Milky white areas with geographical margins located away from the SCJ are due to HPV infection. These are also known as flat condylomata. The presence of satellite lesions is also characteristic of HPV infection.





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