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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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VIA-negative cases                                                                            Click to return to the atlas
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  • Case: 23

  • Age: 32

  • Before application of acetic acid: The central bright red velvety area is the columnar epithelium. The smooth pink squamous epithelium can be seen at the periphery.

  • Cervix before application of acetic acid:  
  • Ectropion

    After application of acetic acid: The granular appearance of the columnar epithelium becomes prominent.

  • 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 transformation zone (TZ) is just at the periphery of the ectropion. The TZ has just started forming. The treatment of such cases by thermal ablation often requires multiple applications of the probe to cover the ectropion as well as the TZ.





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