Before application of acetic acid: The blister-like swelling at the 2 oíclock position is a nabothian cyst.
Cervix before application of acetic acid:
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:
If present, description of acetowhite area:
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.