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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: 25

  • Age: 32

  • Before application of acetic acid: Large ectropion seen as a bright red patch around the external os.

  • Cervix before application of acetic acid:  
  • Ectropion

    After application of acetic acid: The granular surface of the columnar epithelium is prominent. Transparent white areas are due to metaplasia.

  • 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: Metaplastic epithelium may be acetowhite. However, the acetowhitening is thin, is transparent, and does not have any definite margins, as in this case.





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