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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: 79

  • Age: 42

  • Before application of acetic acid: A lax lateral vaginal wall is seen bulging between the speculum blades. The cervix appears normal.

  • Cervix before application of acetic acid:  

  • After application of acetic acid: The SCJ is fully visible. Streaks of thin acetowhite epithelium are seen at the 10 o’clock and 2 o’clock positions.

  • 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 (if HPV-positive):  

  • Histopathology: Not done

  • Remarks: Streak-like acetowhitening without definite margins is not significant, and the cervix is categorized as VIA-negative.





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