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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: 53

  • Age: 36

  • Before application of acetic acid: The cervix is stained with menstrual blood. A nabothian cyst is present at the 2 o’clock position.

  • Cervix before application of acetic acid:  
  • Nabothian cyst

    After application of acetic acid: A small trickle of menstrual blood is seen at the external os. The nabothian cyst has a pearly white blister-like appearance. No acetowhite area in the TZ.

  • 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: VIA can be done satisfactorily in the presence of scanty menstrual bleeding.





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