Acetowhite lesion: After applying acetic acid, a distinct white lesion appears, which is different from leukoplakia visible with bare eyes. It is due to increased nucleus density of epithelial cell and is common in Cervical Intraepithelial Neoplasia (CIN).
Acetowhite lesion, Not Definite
Mosaic
It forms a vascularity in shape of a basket amidst epithelium and creates mosaic morphology, and mild dysplasia shows regular morphology, but it becomes irregular as the lesion proceeds. It is primarily related to lesion of CIN1 or higher.
Punctation
Spots with distinct capillary margin as an abnormal finding in focal epithelium, commonly observed in CIN.
Atypical vessel
Irregularity in vascularity unlike in normal squamous epithelium, such as shape, diameter, and intervascular space, and in most cases, it has the risk of infiltrating cancer.
Ulceration
High risk lesion or cancerous epithelium shows tendency to easily fail due to lack of intercellular cohesion. Area eroded by the ulcer may show hemorrhage, and it may be surrounded by acetowhite lesion.
Cancer mass suspicious
Atypical cell, spindle like tissue, and dysplasia may surround most of squamous mucus.
It is a benign tumor caused by the proliferation of the mucous epithelium due to chronic inflammation of the cervical mucosa. It is usually found in about 5% of adult women. Polyps comprise a single layer of columnar epithelial cells inside the cervix, and most often have ulcers and congestion at the ends of the polyps, which can cause uterine bleeding. If you have symptoms, these findings require treatment.
Leukoplakia
Vitiligo, or vitiligo, refers to a raised white area that is observed with the naked eye even before acetic acid is applied. It is thickened and keratinized in epithelial cells. Normal cervical squamous epithelium does not produce keratin but can develop as a result of any cause that irritates the epithelium, such as trauma, chronic infection, or a tumor. Vitiligo is often a benign finding, but a biopsy is required to differentiate between benign hyperkeratosis and tumors. Because it can occur in connection with a human papillomavirus infection, and the obvious manifestation of a lesion such as keratolytic cancer is vitiligo, a biopsy must be done.
Condyloma
Sexually transmitted warts, caused by human papillomavirus types 6 and 11. It usually occurs in the vagina, vulva, perineum, anus, urethra, and penis. These findings require treatment.