Home / Training / Manuals / Atlas of visual inspection of the cervix with acetic acid for screening, triage, and assessment for treatment / Cases

Atlas of visual inspection of the cervix with acetic acid for screening, triage, and assessment for treatment

Filter by language: English / Русский
VIA-negative cases                                                                            Click to return to the atlas
                                                                                                                         Click on the pictures to magnify and display the legends


  
  • Case: 84

  • Age: 37

  • Before application of acetic acid: Nabothian cysts are present at the 8 o’clock and 3 o’clock positions.

  • Cervix before application of acetic acid:  
  • Nabothian cyst

    After application of acetic acid: The SCJ is fully visible. The outer limit of the TZ can be delineated by the location of the farthest nabothian cyst. A tongue-shaped thin acetowhite area at the 12 o’clock position is seen projecting towards the external os.

  • 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: The columnar epithelium is gradually being replaced by transparent metaplastic epithelium with tongue-shaped advancing edges projecting towards the external os. Metaplasia is the most common cause of false-positive VIA, especially in young women. Note that the acetowhite area of metaplasia does not have any outer margin.





  •   
    IARC, 150 Cours Albert Thomas, 69372 Lyon CEDEX 08, France - Tel: +33 (0)4 72 73 84 85 - Fax: +33 (0)4 72 73 85 75
    © IARC 2023 - All Rights Reserved.