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. 2023 May 15;17(2):292–298. doi: 10.1007/s12105-023-01544-y

Table 2.

World Health Organization architectural features for oral epithelial dysplasia

Architectural features
Group features Specific features
Basal features Irregular stratification
Drop-shaped rete processes
*Basal cell clustering/nesting
Loss of polarity or disorganization of basal cells
*Expanded proliferative compartment
Mitotic features Mitoses high in epithelium
Mitoses in maturing cells
Keratin features Reduced keratinocyte cohesion
Keratin pearls in rete processes
Generalized premature keratinization
*Altered keratin pattern for oral subsite
Structural features *Verrucous or papillary architecture
*Multifocal or skip lesions
*Sharply defined margin to changes
*Multiple different patterns of dysplasia
*Extension of changes along minor gland ducts

*Denotes new additions to the criteria [10]