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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: 1

  • Age: 33

  • Before application of acetic acid: The columnar epithelium is fully visible around the external os.

  • Cervix before application of acetic acid:  

  • After application of acetic acid: Temporary blanching of the columnar epithelium. Patchy acetowhite area without any distinct margin at 5 oíclock position. The transformation zone is the pale area on the ectocervix.

  • 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: Temporary blanching of the columnar epithelium after application of acetic acid is normal. Patchy and thin acetowhite areas without any distinct margin close to the SCJ indicate metaplastic changes. Such changes are normal and VIA is negative.





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