Table 1. Pathology of lung adenocarcinomas according to previous 2004 WHO and current IASLC/ATS/ERS classifications.
2004 WHO classification |
Mixed subtype |
Acinar |
Papillary |
BAC |
Non mucinous |
Mucinous |
Mixed |
Solid adenocarcinoma |
Colloid |
Fetal |
Mucinous cystadenocarcinoma |
Signet-ring |
Clear-cell |
Major changes in the new IASLC/ATS/ERS classification |
Discontinuation of the term BAC |
Discontinuation of the mixed subtype |
Comprehensive pathologic subtyping in 5% increments and classification of adenocarcinomas according to the predominant subtype |
Introduction of AIS and MIA as new entities |
Introduction of micropapillary adenocarcinoma as a predominant subtype |
Introduction of lepidic predominant adenocarcinoma and lepidic growth as new terminologies |
Exclusion of signet-ring and clear cell adenocarcinomas |
IASLC/ATS/ERS classification |
Pre-invasive lesions |
Atypical adenomatous hyperplasia |
AIS |
Non-mucinous |
Mucinous |
Mixed |
MIA |
Non-mucinous |
Mucinous |
Mixed |
Invasive adenocarcinomas |
Lepidic predominant |
Acinar predominant |
Papillary predominant |
Micropapillary predominant |
Solid predominant with mucin production |
Variants of invasive adenocarcinomas |
IMA |
Colloid |
Fetal |
Enteric |
WHO, World Health Organization; IASLC, International Association for the Study of Lung Cancer; ATS, American Thoracic Society; ERS, European Respiratory Society; BAC, bronchioloalveolar carcinoma; AIS, adenocarcinoma in situ; MIA, minimally invasive adenocarcinoma; IMA, invasive mucinous adenocarcinoma.