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Screening For Cancer Cervix by Visual Technique: University Sriwijaya Palembang Dept. Obstetrics and Gynaecology
Screening For Cancer Cervix by Visual Technique: University Sriwijaya Palembang Dept. Obstetrics and Gynaecology
by Visual Technique
Effective
Safe
Practical
Affordable
Available
Important
Do not perform the examination if the woman
is having menstrual period or is using
intravaginal medication. Advise her to come
back when the mensus or the treatment is
over.
Do not apply acetic acid if there is a gross
lesion suspicious of malignancy, refer patient
directly to oncology / tertiary care facility.
Acetic acid
Dissolves mucus
Induces intracellular dehydration
Causes coagulation of protein
As a result cells with increased
Nuclear / Cytoplasmic ratio ratio
Nuclear density
Chromosomal aneuploidy
Become opaque acetowhite area test positive
Aceto-white
Margins and surface
White gland openings
Mosaic & punctation
Abnormal vessels
NORMAL: -
Smooth, pink
Clear mucoid secretion
Central hole-'external os'
Nulliparours-round
Multiparous-slit or cruciate
Cervix in postmenopausal
women is atrophic Normal Cervix
August 8, 2017 Screenig For Cancer Cervix by Visual Technique 26
Reporting Visual Inspection Findings
BEFORE ACETIC ACID APPLICATION- Unaided visual
inspection of Cx Clinical Down staging
ABNORMAL: -
Hypertrophy
Redness or congestion
Irregular surface
Distortion
Simple erosions (do not bleed on touch)
Cervical polyps (with smooth surface)
Abnormal discharge: foul smelling, dirty / greenish, cheesy white,
blood stained
Nabothian follicles
Prolapsed uterus
ABNORMAL: -
Clinical interpretation can be:
Infection
Ectopy (Erythroplasia)
Benign tumour
SUSPICIOUS OF MALIGNANCY: -
Erosion that bleeds on touch or friable
Growth, with an irregular surface or friable
H
THANK YOU
August 8, 2017 Screenig For Cancer Cervix by Visual Technique 35