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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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VIA-negative cases                                                                            Click to return to the atlas
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  • Case: 2

  • Age: 35

  • Before application of acetic acid: The columnar epithelium is fully visible on the ectocervix.

  • Cervix before application of acetic acid:  
  • Nabothian cyst

    After application of acetic acid: The columnar epithelium appears white temporarily. The outer limit of the TZ can be delineated by the location of the nabothian cyst at the 10 oíclock position. No acetowhite area in 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: Temporary blanching of the columnar epithelium after application of acetic acid is normal.





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