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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: 3

  • Age: 47

  • Before application of acetic acid: The ectocervix is covered by mature squamous epithelium.

  • Cervix before application of acetic acid:  

  • After application of acetic acid: No acetowhite area.

  • 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: The SCJ on the posterior lip is partially (<2 mm) inside the endocervical canal. Gentle manipulations, such as opening the speculum blades wider or applying gentle pressure on the outer aspect of the posterior lip of the ectocervix or to the posterior vaginal fornix with moist cotton swabs, may evert the cervical lip and make the SCJ completely visible. Ablative treatment is possible even though the SCJ is a little inside the endocervical canal. The pressure of the probe allows the entire TZ to be covered and treated.





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