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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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VIA-positive cases                                                                              Click to return to the atlas
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  • Case: 94

  • Age: 41

  • Before application of acetic acid: The blister-like swelling at the 2 oíclock position is a nabothian cyst.

  • Cervix before application of acetic acid:  
  • Nabothian cyst

    After application of acetic acid: The location of the nabothian cyst helps to identify the outer limit of the TZ. A tongue-shaped thin acetowhite area with irregular margins is seen on the anterior lip at the 12 oíclock 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:  

  • Histopathology: Not done

  • Remarks: The presence of tongue-shaped thin acetowhite areas and nabothian cysts in the TZ is most likely to indicate squamous metaplasia. However, it is better to give a VIA-positive diagnosis because the margins are distinct.





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