Table 1

The SCENIC consensus for the nomenclature of dysplasia in inflammatory bowel disease using the Paris classification, with modifications to describe ulceration and the borders of the lesion14

Term Definition
Visible dysplasiaDysplasia identified on targeted biopsies from a lesion visualised at colonoscopy
PolypoidLesion protruding from the mucosa into the lumen ≥2.5 mm
PedunculatedLesion attached to the mucosa by a stalk
SessileLesion not attached to the mucosa by a stalk: entire base is contiguous with the mucosa
Non-polypoidLesion with little (<2.5 mm) or no protrusion above the mucosa
Superficial elevatedLesion with protrusion but <2.5 mm above the lumen (<height of the closed cup of a biopsy forceps)
FlatLesion without protrusion above the mucosa
DepressedLesion with at least a portion depressed below the level of the mucosa
General descriptors
 UlceratedUlceration (fibrinous-appearing base with depth) within the lesion
Border
 Distinct borderLesion’s border is discrete and can be distinguished from surrounding mucosa
 Indistinct borderLesion’s border is not discrete and cannot be distinguished from surrounding mucosa
 Invisible dysplasiaDysplasia identified on random (non-targeted) biopsies of colon mucosa without a visible lesion