Table 1. Pathological microscopic changes at the cellular level and tissue level in dysplasia

Cellular level changes Tissue level changes
• Abnormal variation in cell size (Anisocytosis) • Loss of polarity
• Increased nuclear/cytoplasmic ratio • Disordered maturation from basal to squamous cells
• Abnormal mitotic figures (abnormal in shape or location) • Increased cellular density
• Enlarged nuclei and cells • Dyskeratosis (premature keratinization and keratin pearls deep in epithelium)
• Abnormal variation in nuclear size (anisonucleosis) • Secondary extensions (nodules) on rete tips
• Increased number and size of nucleoli