Table 1.
Definition | ||
Japanese view | Western view | |
Indefinite for intraepithelial neoplasia | A temporary term | A temporary term |
It is difficult to distinguish whether a lesion is neoplastic or non-neoplastic, or reactive or regenerative | ||
LGIN | Characterized by a slightly modified mucosal architecture, including the presence of tubular structures with budding and branching, papillary enfolding, crypt lengthening with serration and cystic changes | |
HGIN | Characterized by an increasing architectural distortion with glandular crowding and prominent cellular atypia without stromal invasion | |
Adenocarcinoma/carcinoma | Diagnosed on nuclear and structural atypia, even when invasion is absent[45] | Diagnosed when evident invasive growth of neoplastic epithelium into the lamina propria of the mucosa or beyond is observed[46] |
LGIN: Low-grade intraepithelial neoplasia; HGIN: High-grade intraepithelial neoplasia.