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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: 129

  • Age: 47

  • Before application of acetic acid: The cervix is congested.

  • Cervix before application of acetic acid:  

  • After application of acetic acid: A dense acetowhite area with well-defined margins is present on the posterior lip at the 4–9 o’clock position. Another dense acetowhite area is seen at the 2 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:  

  • After application of Lugol’s iodine: The abnormal area does not stain with Lugol’s iodine.

  • Determined eligibility for ablative treatment:  

  • Histopathology: HSIL-CIN3

  • Remarks: On VIA, if the SCJ or the margins of the lesion are not completely visible on the ectocervix, treatment by ablative methods should not be done.





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