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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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  • Case: 112

  • Age: 43

  • Before application of acetic acid: Parous cervix. No abnormal discharge is seen.

  • Cervix before application of acetic acid:  

  • After application of acetic acid: The SCJ is fully visible. A large acetowhite area with well-defined margins is seen on the anterior lip. The lesion close to the external os at the 10Ė2 oíclock position is denser than the rest of the acetowhite area, which is visible on both the anterior and posterior lips.

  • 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 Lugolís iodine: The dense acetowhite area appears bright mustard yellow.

  • Determined eligibility for ablative treatment:  

  • Histopathology: HSIL-CIN3

  • Remarks: The presence of a dense acetowhite area within a large thin acetowhite area always indicates the presence of high-grade disease in the dense acetowhite part.





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