Review Article

Precursors to Cholangiocarcinoma

Table 1

Classification and characterization of biliary intraepithelial neoplasia (based on Ainechi S, Arch Pathol Lab Med 2016).

BilIN-1BilIN-2BilIN-3

CellsPolarity maintained
Increase in basally placed nuclei
Loss of polarity
Nuclei reaching the luminal surface
Marked loss of polarity
Nuclei reaching the luminal surface
NucleiMild atypiaModerate atypiaSevere atypia
ArchitectureFlatFlat or micropapillaryLikely micropapillary
MitosisRareRareLikely
DysplasiaLow-gradeIntermediateHigh-grade/carcinoma in situ