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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: 52

  • Age: 35

  • Before application of acetic acid: A small mucous polyp is seen at the external os.

  • Cervix before application of acetic acid:  
  •  Infective vaginal discharge:   
    Strawberry appearance of cervix
    Cervicitis
    Polyp
    Bleeding on contact
    White patch
    Growth
    Ulcer
    Erosion

    After application of acetic acid: The ectocervix is covered by mature squamous epithelium. The polyp appears faintly acetowhite because of squamous 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: The presence of a small polyp at the external os does not interfere with VIA. The polyp can be gently pushed inside the endocervical canal with a moist cotton swab before performing ablative treatment.





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