The review panel was set up in February 2016 following allegations made by the BBC and Buzzfeed that leading players, including grand slam winners, were involved in suspected match-fixing and that evidence had been suppressed.
Having interviewed around 3,300 players as well as tournament organisers, officials and betting operators, it found "evidence of some issues" at grand slams and Tour events, although it did not uncover evidence of a widespread problem at those higher levels.
The panel found no evidence of top-level players being implicated in corruption.
However, it did claim 'tanking' - players seemingly giving up during matches - which has been a feature at some high-profile tournaments, has been too often tolerated by the tennis authorities.
The level of suspicious betting alerts rose sharply after the sale of official live scoring data to betting companies in 2012, making tens of thousands of matches available to gamble on.
Lewis added: "The imbalance between prize money and costs, and deliberate under- performance, are the seeds for corruption.
"It is a small step for a player who already intends to lose for other reasons, to bet or to make others aware of their intentions. It's a small step to deliberately lose, or lose a game or a set, so as to make enough money to continue playing.
"According to experts, since 2015 tennis has been responsible for more suspicious betting than any other sport."
Among the panel's recommendations is the restructuring of the professional game with a significant reduction in tournaments deemed 'professional'.
The panel also recommended discontinuing the sale of official live scoring data at lower-level tennis - although betting companies claim this will merely encourage black market activity - and eliminating betting sponsorship in the sport.
The review did not find evidence of a cover-up by either the Tennis Integrity Unit nor the International Tennis Federation and the Association of Tennis Professionals - a finding welcomed by the governing bodies.
-AAP