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 oíclock position.
Cervix before application of acetic acid:
After application of acetic acid: Thin acetowhite areas with geographical margins and attached to the SCJ are present in the TZ at the 10Ė2 oíclock position.
Cervix after application of acetic acid:
Squamocolumnar junction visibility:
Squamocolumnar junction location:
If present, description of acetowhite area:
After application of Lugolís 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.