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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: 46

  • Age: 31

  • Before application of acetic acid: The cervix appears red, is congested, and is covered with blood-mixed 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: The SCJ is not visible. Extensive erosion on the cervix. It is difficult to delineate the TZ.

  • Cervix after application of acetic acid:
    • Squamocolumnar junction visibility:  
    • Squamocolumnar junction location:  
    • Acetowhite area:  

  • VIA category:  

  • Determined eligibility for ablative treatment (if HPV-positive):  

  • Histopathology: Not done

  • Remarks: A congested cervix with extensive erosion and infective vaginal discharge usually indicates presence of acute cervicitis. It is better to refer such patients for further assessment, especially if she is HPV-positive. An invasive cancer or high-grade CIN cannot be ruled out.





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