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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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VIA-positive cases                                                                              Click to return to the atlas
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  • Case: 114

  • Age: 35

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

  • Cervix before application of acetic acid:  

  • After application of acetic acid: An acetowhite area is present on the posterior lip at the 3Ė6 oíclock position. The lesion is denser close to the external os compared with the surrounding thin acetowhite areas.

  • 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: The iodine-negative area well delineates the area to be treated.

  • Determined eligibility for ablative treatment:  

  • Histopathology: HSIL-CIN3

  • Remarks: On VIA, if there is any doubt about the extent of the inner margin of the lesion inside the endocervical canal, treatment by ablation should not be done.





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