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. 2022 Mar 3;80(7):1019–1025. doi: 10.1111/his.14618

Table 1.

Definitions of colorectal adenoma, as derived from the World Health Organisation classification of tumours (various editions)

WHO classification Definition
1st edition 17 A benign pedunculated or sessile neoplasm of glandular epithelium in which there is atypia of varying degrees.
2nd edition 20 A circumscribed benign neoplasm composed of tubular and/or villous structures lined by dysplastic epithelium. Dysplastic epithelium differs from the normal in including a higher proportion of immature cells containing large, hyperbasophilic and stratified nuclei.
3rd edition 21 These precursor lesions are defined by the presence of intraepithelial neoplasia, histologically classified by hypercellularity with enlarged hyperchromatic nuclei, varying degrees of nuclear stratification and loss of polarity.
4th edition 10 Adenomas are defined by the presence of dysplastic epithelium
5th edition 12 Benign, premalignant neoplasms composed of dysplastic epithelium