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Before application of acetic acid: The cervix is covered with mucopurulent discharge.
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: Persistent dense acetowhite areas are seen on the columnar epithelium. Contact bleeding is present. Note the surface irregularity.
Cervix after application of acetic acid:
Squamocolumnar junction visibility:
Squamocolumnar junction location:
If present, description of acetowhite area:
Determined eligibility for ablative treatment:
Histopathology: Adenocarcinoma in situ
Remarks: Persistent dense acetowhite areas on the columnar epithelium with contact bleeding and surface irregularity should raise the suspicion of a cancer arising from the columnar epithelium, although these are rare.