Visible dysplasia | Dysplasia identified on targeted biopsies from a lesion visualised 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 |
Non-polypoid | Lesion with little (<2.5 mm) or no protrusion above the mucosa |
Superficial elevated | Lesion with protrusion but <2.5 mm above the lumen (<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 |