Home / Training / Manuals / Atlas of visual inspection of the cervix with acetic acid for screening, triage, and assessment for treatment / Cases

Atlas of visual inspection of the cervix with acetic acid for screening, triage, and assessment for treatment

Filter by language: English / Русский
VIA-positive cases                                                                              Click to return to the atlas
                                                                                                                         Click on the pictures to magnify and display the legends


  
  • Case: 121

  • Age: 36

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

  • Cervix before application of acetic acid:  
  • Nabothian cyst

    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:  
    • Acetowhite area:  
      • If present, description of acetowhite area:
        • Colour:  
        • Margin:  
        • Surface:  
        • Location:  
        • Size:  

  • VIA category:  

  • 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.





  •   
    IARC, 150 Cours Albert Thomas, 69372 Lyon CEDEX 08, France - Tel: +33 (0)4 72 73 84 85 - Fax: +33 (0)4 72 73 85 75
    © IARC 2023 - All Rights Reserved.