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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: 15

  • Age: 54

  • Before application of acetic acid: Atrophic cervix of a woman with uterovaginal prolapse. On the posterior lip there is a raw red area with sharp margins (a decubitus ulcer).

  • 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. No acetowhite area on the ectocervix.

  • 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 sharply defined raw, smooth area on the posterior lip is a decubitus ulcer, which can be seen in women with long-standing uterovaginal prolapse. The woman should be referred to an appropriate centre for treatment of genital prolapse.





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