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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-negative cases                                                                            Click to return to the atlas
                                                                                                                         Click on the pictures to magnify and display the legends


  
  • Case: 59

  • Age: 45

  • Before application of acetic acid: Multiple nabothian cysts are seen as yellowish blisters on the ectocervix.

  • Cervix before application of acetic acid:  
  • Nabothian cyst

    After application of acetic acid: The extent of the TZ can be delineated by the location of the nabothian cysts. No acetowhite area in the TZ.

  • Cervix after application of acetic acid:
    • Squamocolumnar junction visibility:  
    • Squamocolumnar junction location:  
    • Acetowhite area:  

  • VIA category:  

  • Determined eligibility for ablative treatment (if HPV-positive):  

  • Histopathology: Not done

  • Remarks: With a magnified view, the branching pattern of normal blood vessels over nabothian cysts is well visible. However, such features are not visualized on naked-eye examination during VIA.





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