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SWEDE Score

Density of Acetic Acid

0: Zero or transparent

1: Shady, milky (not transparent, not opaque)

2: Distinct, opaque white

Margin & Surface

0: Diffuse or no margin

1: Sharp but irregular, jagged, “geographical”; satellites

2: Sharp and even; difference in surface level, including “cuffing”

Blood Vessels

0: Fine, regular

1: Absent

2: Coarse or atypical

Size

0: < 5 mm

1: 5–15 mm or spanning 2 quadrants

2: > 15 mm or spanning 3–4 quadrants, or endocervically undefined

Lugol’s iodine

0: Brown

1: Faint or patchy yellow

2: Distinct yellow

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