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. 2020 Oct 14;278(6):1723–1732. doi: 10.1007/s00405-020-06406-9

Table 1.

Comparison of grading systems for LD, after WHO 2017 [8], with corrected levels. The published version limits low-grade dysplasia to the lower third, rather than the lower half of the epithelium

Level of abnormal maturation (WHO 2005) WHO 2005 classification [61] SIN classification  [60] Ljubljana classification [59] Amended Ljubljana classification [58] WHO 2017 [8]
Squamous hyperplasia Squamous hyperplasia Squamous hyperplasia Low-grade SIL Low-grade dysplasia
Lower 1/3 Mild dysplasia SIN 1 Basal/parabasal hyperplasia
1/3 to 1/2

Moderate

Dysplasia

SIN 1 or 2 Atypical hyperplasia High-grade SIL
Upper 1/2–3/4 SIN 2 High-grade dysplasia*
Full thickness Severe dysplasia
Carcinoma in situ Carcinoma in situ Carcinoma in situ

*A grade of carcinoma in situ may be used if a three-tiered system is preferred

SIN  squamous intraepithelial neoplasia, SIL  intraepithelial lesion