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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: 146

  • Age: 31

  • Before application of acetic acid: The columnar epithelium is visible as a red patch around the external os.

  • Cervix before application of acetic acid:  

  • After application of acetic acid: A dense acetowhite area with sharp margins is present at the 7Ė8 oíclock position. Transparent acetowhite areas with irregular margins are present on the anterior lip at the 10Ė1 oíclock position. Thick mucus is seen close to the external os on the posterior lip.

  • 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 Lugolís iodine: Lugolís iodine well delineates the abnormal area to be treated.

  • Determined eligibility for ablative treatment:  

  • Histopathology: LSIL-CIN1

  • Remarks: The transparent acetowhite areas with irregular margins present on the anterior lip are suggestive of squamous metaplasia. The dense opaque acetowhite area on the posterior lip is the more significant lesion.





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