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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: 103

  • Age: 34

  • Before application of acetic acid: The “fish mouth” appearance of the external os in a parous cervix.

  • Cervix before application of acetic acid:  

  • After application of acetic acid: A thin acetowhite area with irregular margins and arising from the SCJ is seen at the 12 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:  

  • Determined eligibility for ablative treatment:  

  • Histopathology: Normal

  • Remarks: On VIA, it is often difficult to distinguish between metaplasia and low-grade precancers. When in doubt, the lesion should be categorized as VIA-positive.





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