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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: 30

  • Age: 33

  • Before application of acetic acid: The entire cervix appears red because of the presence of a large ectropion occupying almost the entire ectocervix.

  • Cervix before application of acetic acid:  
  • Ectropion

    After application of acetic acid: The SCJ is seen to lie far away from the external os. Transparent acetowhite areas on the columnar epithelium 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: Transparent acetowhite epithelium covering the columnar epithelium indicates early metaplastic changes. The outer limit of the ectropion and the outer limit of the transformation zone are the same.





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