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VIA
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
CERVIX
Types of visual inspection tests: ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],Cervix with  ACETO-WHITE lesion Negative
[object Object],Commentary:  P. Blumenthal. Detection of cervical intraepithelial neoplasia in developing countries. The Lancet  March 13, 1999
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
VIA IMAGES NORMAL CERVIX Cervix with  ACETO-WHITE lesion
VIA Category Clinical Findings ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
SQJ ,[object Object],[object Object],[object Object]
Squamocolumnar Junction with Squamous Metaplasia ,[object Object],[object Object],[object Object],[object Object]
Categories for VIA tests results: Suspicious for cancer Photo source: PAHO, Jose Jeronimo
[object Object],[object Object],Negative Positive Photo source: JHPIEGO
[object Object]
Requirements: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
VIA is not performed: ,[object Object],[object Object],[object Object]
Procedure: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Normal VIA ,[object Object],[object Object],[object Object],[object Object],[object Object]
Acetic Acid – Aceto-white Areas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acetic Acid ,[object Object],[object Object],[object Object],[object Object],[object Object]
Result
After application - Note ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Interpretation of “Aceto-white” ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Reporting in VIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Interpretation of “ABNORMAL” ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cervical Dysplasia ,[object Object],[object Object]
Cervical Dysplasia ,[object Object],[object Object]
Cervical Dysplasia ,[object Object],[object Object]
Severe Dysplasia ,[object Object],[object Object]
Carcinoma in Situ
Features of early cancer lesions ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Invasive Cancer ,[object Object],[object Object],[object Object],[object Object],[object Object]
VIA test performance (n=7): * Weighted median and mean based on study sample size Source: Adapted from Gaffikin, 2003 Sensitivity Specificity Minimum 65% 64%  Maximum 96% 98% Median* 84% 82% Mean* 81% 83%
Management – VIA Positive ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Limitations of VIA: ,[object Object],[object Object],[object Object],[object Object],[object Object]
VIA Advantages ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Thank You

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  • 11. VIA IMAGES NORMAL CERVIX Cervix with ACETO-WHITE lesion
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  • 16. Categories for VIA tests results: Suspicious for cancer Photo source: PAHO, Jose Jeronimo
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  • 42. VIA test performance (n=7): * Weighted median and mean based on study sample size Source: Adapted from Gaffikin, 2003 Sensitivity Specificity Minimum 65% 64% Maximum 96% 98% Median* 84% 82% Mean* 81% 83%
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