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Terminology for reporting findings on colonoscopic surveillance of patients with inflammatory bowel disease

Terminology for reporting findings on colonoscopic surveillance of patients with inflammatory bowel disease
Term Definition
Visible dysplasia Dysplasia identified on targeted biopsies from a lesion visualized at colonoscopy
Polypoid Lesion protruding from the mucosa into the lumen ≥2.5 mm
  • Pedunculated
Lesion attached to the mucosa by a stalk
  • Sessile
Lesion not attached to the mucosa by a stalk (entire base is contiguous with the mucosa)
Nonpolypoid Lesion with little (<2.5 mm) or no protrusion above the mucosa
  • Superficial elevated
Lesion with protrusion but <2.5 mm above the lumen (less than the height of the closed cup of a biopsy forceps)
  • Flat
Lesion without protrusion above the mucosa
  • Depressed
Lesion with at least a portion depressed below the level of the mucosa
General descriptors
  • Ulcerated
Ulceration (fibrinous-appearing base with depth) within the lesion
  • Border
    • Distinct border
Lesion's border is discrete and can be distinguished from surrounding mucosa
    • Indistinct border
Lesion's border is not discrete and cannot be distinguished from surrounding mucosa
Invisible dysplasia Dysplasia identified on random (non-targeted) biopsies of colon mucosa without a visible lesion
Reproduced from: Laine L, Kaltenbach T, Barkun A, et al. SCENIC International Consensus Statement on Surveillance and Management of Dysplasia in Inflammatory Bowel Disease. Gastroenterology 2015; 148:639. Table used with the permission of Elsevier Inc. All rights reserved.
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