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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: 58

  • Age: 33

  • Before application of acetic acid: The columnar epithelium appears as a red velvety patch on the ectocervix (ectropion). A nabothian cyst is present at the 10 oíclock position.

  • Cervix before application of acetic acid:  
  • Nabothian cyst
    Ectropion

    After application of acetic acid: The SCJ is fully visible. A nabothian cyst appears prominent as a pearly white blister. No acetowhite area.

  • 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 presence of the nabothian cyst will not hamper ablative treatment. The cryotherapy probe or the thermal ablation probe can be applied over the cyst. The cyst may rupture after treatment. This will not cause any problems.





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