Before application of acetic acid: The cervix appears normal. The SCJ is fully visible at the external os.
Cervix before application of acetic acid:
After application of acetic acid: Small acetowhite areas attached to the SCJ are seen in the TZ at the 9 o’clock and 11 o’clock positions. A small satellite lesion is present at the 10 o’clock position, located away from the SCJ.
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 Lugol’s iodine: The acetowhite areas do not stain with Lugol’s iodine.
Determined eligibility for ablative treatment:
Histopathology: LSIL-HPV changes
Remarks: Multiple acetowhite areas with satellite lesions are commonly associated with infection with low-risk HPV types.