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editorial
. 2011 Dec 15;2(6):93–99. doi: 10.4291/wjgp.v2.i6.93

Table 1.

Definition of intraepithelial neoplasia

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.