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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: 4

  • Age: 35

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

  • Cervix before application of acetic acid:  
  • Ectropion

    After application of acetic acid: The SCJ becomes prominent. The columnar epithelium appears white temporarily. No acetowhite area on the squamous epithelium.

  • 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: Temporary blanching of the columnar epithelium after application of acetic acid is normal. The epithelium soon regains its normal red colour.





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