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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: 5

  • Age: 31

  • Before application of acetic acid: Red granular columnar epithelium is visible on the ectocervix.

  • Cervix before application of acetic acid:  
  • Ectropion

    After application of acetic acid: No acetowhite area on the cervix. A mucus plug is seen at the external os.

  • 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 small bleeding points seen on the columnar epithelium are due to injury caused by a cotton swab during application of acetic acid. The columnar epithelium is fragile and is easily prone to trauma.





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