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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: 27

  • Age: 30

  • Before application of acetic acid: The red patch at the centre is the columnar epithelium. The pink squamous epithelium is visible at the periphery.

  • Cervix before application of acetic acid:  
  • Ectropion

    After application of acetic acid: Acetic acid makes the SCJ appear prominent as a sharp line between the squamous epithelium and the columnar epithelium. Transparent white patches on the columnar epithelium are due to early 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 outer limit of the ectropion and the outer limit of the transformation zone (TZ) are almost the same, because the TZ has just started forming.





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