|
Click over the pictures to enlarge
|
| Normal cervix,
acetic acid pool visible at 6 o'clock. |
No medical intervention
required.
Call for re-screening according to established policy. |
 |
| Normal cervix,
negative Acetic Acid Test (AAT), small condyloma acuminatum on left
vaginal wall (9 o'clock). |
No medical intervention
required.
Call for re-screening according to established policy. |
 |
| Normal cervix,
negative AAT. Some degree of ectopy is visible and subsequently,
the squamo-columnar junction line is clearly visible. White endocervical
mucous is present. |
No medical intervention
required.
Call for re-screening according to established policy. |
 |
| Severe postmenopausal
atrophy of the squamous epithelium, negative AAT. |
Refer the patient
to Primary Health Clinic for treatment if patient symptomatic. |
 |
| Cervical polyp,
negative AAT. |
No medical intervention
required.
Call for re-screening according to established policy. |
 |
| Normal cervix,
negative AAT. Ectopy is present with metaplastic epitheliumgrowing
medially at 12 o'clock (containing crypt openings). Posteriorly
several "bands" of metaplastic epithelium are visible. Outside the
squamo-columnar junction line the transformation zone is visible
as a slightly white circular area. |
No medical intervention
required.
Call for re-screening according to established policy. |
 |
| Marked ectopy,
negative AAT. |
No medical intervention
required.
Call for re-screening according to established policy. |
 |
| Nabothian cyst
at 5 o'clock. Atypical acetowhite lesion at 11 o'clock extending
up into the canal - colposcopy indicated. |
Take swab for culture
(if facilities available).
Refer the patient to Primary Health Clinic. |
 |
| Atypical lesion
anteriorly, positive AAT - repeat screening in 6 month's time. |
Refer the patient
to Primary Health Clinic. |
 |
| Acetowhite metaplastic
epithelium anterior and posterior. Atypical lesion at 12 o'clock
(at the periphery). |
Refer the patient
to Primary Health Clinic. |
 |
| Condylomata acuminata
at 10 o'clock. |
Refer the patient
to Primary Health Clinic. |
 |
| Negative with
acetowhite metaplasia. Crypt openings are present within metaplastic
epithelium. At 1 o'clock Nabothian cyst is present (yellow). False
negative AAT. |
Refer the patient
to Primary Health Clinic. |
 |
| Normal with acetowhite
metaplasia in the transformation zone. False positive AAT. |
Refer the patient
to Primary Health Clinic. |
 |
| Condylomata acuminata
at 6 o'clock, acetowhite metaplasia anterior. |
Refer the patient
to Primary Health Clinic. |
 |
| Atypical acetowhite
lesion extending up into the canal - colposcopy and biopsy indicated. |
Refer the patient
to Primary Health Clinic. |
 |
| Positive AAT.
Probably normal, but a biopsy is desired in order to rule out cancer. |
Refer the patient
to Primary Health Clinic. |
 |
| Positive AAT.
Probably normal, but abnormal blood vessels indicate biopsy. |
Refer the patient
to Primary Health Clinic. |
 |
| Low grade SIL
(CIN I) at 12 o'clock with acetowhite metaplastic epithelium posterior. |
Refer the patient
to Primary Health Clinic. |
 |
| Positive AAT,
low grade SIL (condylomata acuminata). |
Refer the patient
to Primary Health Clinic. |
 |
| Positive AAT,
high grade SIL anterior (CIN II). |
Refer the patient
to Primary Health Clinic. |
 |
| Positive AAT,
high grade SIL (CIN III) at 5 o'clock. Acetowhite metaplastic epithelium
anterior. |
Refer the patient
to Primary Health Clinic. |
 |
| Leukoplakia before
application of acetic acid; probably high grade SIL (CIN III). |
Refer the patient
to Oncology Centre. |
 |
| Infiltrating cancer. |
Refer the patient
to Oncology Centre. |
 |
| Infiltrating cancer. |
Refer the patient
to Oncology Centre. |
 |
