Before application of acetic acid: The cervix appears normal. The SCJ is fully visible.
Cervix before application of acetic acid:
After application of acetic acid: A thin acetowhite area with irregular geographical margins is seen in the TZ at the 12Ė2 oíclock position close to the external os.
Cervix after application of acetic acid:
Squamocolumnar junction visibility:
Squamocolumnar junction location:
If present, description of acetowhite area:
After application of Lugolís iodine: The iodine non-uptake area has clearly defined margins.
Determined eligibility for ablative treatment:
Histopathology: LSIL-HPV changes
Remarks: On VIA, acetowhite areas due to HPV infections cannot be reliably distinguished from low-grade precancers. Where a screen-and-treat protocol is followed, it is advisable to treat such acetowhite areas in the TZ by ablative methods if the lesion fulfils the criteria for ablation.