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Atlas of visual inspection of the cervix with acetic acid for screening, triage, and assessment for treatment

VIA-suspicious of cancer cases                                                 Click to return to the atlas
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  • Case: 178

  • Age: 60

  • 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:  
    • Acetowhite area:  
      • If present, description of acetowhite area:
        • Colour:  
        • Margin:  
        • Surface:  
        • Location:  
        • Size:  

  • VIA category:  

  • 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.





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