Table 1 Glossary of terms relevant to the diagnosis of HPVi(p53wt) vaVIN.

From: HPV-independent, p53-wild-type vulvar intraepithelial neoplasia: a review of nomenclature and the journey to characterize verruciform and acanthotic precursor lesions of the vulva

Term

Definition

Acanthosis

Thickening of the epithelium with increased number of squamous layers

Microscopically, thickening can be flat or accompany verruciform architecture

Verruciform

In the shape of a verruca or wart, e.g., raised lesion with horn-like projections

Microscopically, church-spire, horn or bulbous shaped epithelial projections, elongation and irregularity of the rete ridges

Plaque

A broad-based elevated or raised area of the skin

Epithelial pallor

Loss of epithelial eosinophilia in the superficial epidermal layers

Hypogranulosis

Loss of the granular cell layer in the epidermis, patchy or diffuse

Hypergranulosis

Increase in the thickness of the granular cell layer in the epidermis