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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
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  • Case: 76

  • Age: 43

  • Before application of acetic acid: The cervix appears normal. The SCJ is fully visible.

  • Cervix before application of acetic acid:  

  • After application of acetic acid: Thin acetowhite epithelium of squamous metaplasia is seen at the 12 o’clock and 7 o’clock positions. The white dots on the anterior lip are crypt openings.

  • 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 (if HPV-positive):  

  • Histopathology: Not done

  • Remarks: Transparent acetowhite epithelium in the transformation zone with indistinct margins should be considered as VIA-negative.





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