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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: 8

  • Age: 55

  • Before application of acetic acid: Pale pink appearance of atrophic squamous epithelium.

  • Cervix before application of acetic acid:  

  • After application of acetic acid: The SCJ is not visible. 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: Atrophic epithelium appears pale pink. With advancing age, the SCJ recedes into the endocervical canal and is no longer visible on the ectocervix. The transformation zone occupies a small area of the ectocervix.





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