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Before application of acetic acid: A small red patch is present at the centre, with contact bleeding. The external os cannot be identified.
Cervix before application of acetic acid:
Infective vaginal discharge: Strawberry appearance of cervix Cervicitis Polyp Bleeding on contact White patch Growth Ulcer Erosion
After application of acetic acid: A dense acetowhite area with well-defined raised margins and surface irregularity is present. Multiple bleeding points with areas of erosion are seen on the acetowhite area.
Cervix after application of acetic acid:
Squamocolumnar junction visibility:
Squamocolumnar junction location:
If present, description of acetowhite area:
Determined eligibility for ablative treatment:
Histopathology: Squamous cell carcinoma
Remarks: Sometimes early invasive cancer is small. The density of acetowhitening, the raised surface, and contact bleeding from the surface should raise the suspicion of cancer.