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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: 60

  • Age: 35

  • Before application of acetic acid: The columnar epithelium is visible as a red patch around the external os. The rest of the ectocervix is covered by pink squamous epithelium.

  • Cervix before application of acetic acid:  

  • After application of acetic acid: The granularity of the columnar epithelium is prominently visible. The SCJ is visible as a white line between the columnar epithelium and the squamous epithelium.

  • Cervix after application of acetic acid:
    • Squamocolumnar junction visibility:  
    • Squamocolumnar junction location:  
    • Acetowhite area:  

  • VIA category:  

  • Determined eligibility for ablative treatment (if HPV-positive):  

  • Histopathology: Not done

  • Remarks: The thick line-like acetowhitening at the junction between the smooth squamous epithelium and the granular columnar epithelium is the SCJ itself.





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