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EPITHELIAL DYSPLASIA

Defination of epithelial dysplasia Dyplasia-Reagon 1958

MECHANISM OF TRANSFORMATION OF EPITHELIUM FROM NORMAL TO DYSPLASTIC CHANGES

GRADING OF EPITHELIAL DYSPLASIA AND ITS APPLICATIONS:


1. Smith and Pindborgsphotographic method (1969) 2. Banoczy and Csiba (1976) 3. WHO (1978) 4. Kramer (1980) 5. Burkhardt and Maerkar (1981) 6. Lumermann H Et al (1995) 7. Neville et al (1995) 8. Speight P M et al (1996) 9. Kuffer and Lombardi (2002) 10. Ljubljana (2003) 11. Brothwell DJ (2003) 12. Binary system (2005)

CELLULAR CHANGES
Abnormal variation in nuclear size and shape Abnormal variation in cell size and shape Increased nuclear/cytoplasm Enlarged nuclei and cell Hyperchromatism Increased mitotic figures Increased number and size of nucleoli

ARCHITECTURAL CHANGES
Loss of cohesion Basal cell hyperplasia Dyskeratosis Bulbous rete pegs Irregular epithelial stratification Keratin pearl within rete pegs Acanthosis

GRADING OF DYSPLASIA
Mild Moderate Severe Carcinoma in situ

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