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. 2020 Oct 13;278(6):1717–1722. doi: 10.1007/s00405-020-06403-y

Table 1.

Comparison of grading systems for LD, after WHO 2017 [20], 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 [34] SIN Classification [35] Ljubljana Classification [33] Amended Ljubljana classification [19] WHO 2017 [20]
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

SIN squamous intraepithelial neoplasia, SIL intraepithelial lesion

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