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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: 164

  • Age: 34

  • Before application of acetic acid: The cervix is covered with normal mucoid secretion. A nabothian cyst with pearly white appearance is present at the 10 o’clock position.

  • Cervix before application of acetic acid:  
  • Nabothian cyst

    After application of acetic acid: Thin acetowhite areas with geographical margins and attached to the SCJ are present in the TZ at the 10–2 o’clock 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:  

  • After application of Lugol’s iodine: The lesion appears patchy yellow. The margins are sharply delineated because of the colour contrast.

  • Determined eligibility for ablative treatment:  

  • Histopathology: LSIL-HPV changes

  • Remarks: Acetowhite areas with geographical margins are commonly due to infection with low-risk HPV types, but they can also be associated with low-grade precancers and should be categorized as VIA-positive.





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