1. The 2021 WHO classification of tumors of the central nervous system: A summary
- Author
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Andreas von Deimling, Arie Perry, Ho Keung Ng, David N. Louis, David W. Ellison, Dominique Figarella-Branger, Guido Reifenberger, Riccardo Soffietti, Cynthia Hawkins, Pieter Wesseling, Daniel J. Brat, Stefan M. Pfister, Ian A. Cree, Pathology, CCA - Imaging and biomarkers, Institut de neurophysiopathologie (INP), Aix Marseille Université (AMU)-Centre National de la Recherche Scientifique (CNRS), Service d'Anatomie Pathologique et de Neuropathologie [Hôpital de la Timone - CHU - APHM], and Assistance Publique - Hôpitaux de Marseille (APHM)- Hôpital de la Timone [CHU - APHM] (TIMONE)
- Subjects
Central Nervous System ,Cancer Research ,diagnosis ,WHO Classification Summary ,[SDV]Life Sciences [q-bio] ,MESH: World Health Organization ,MESH: Central Nervous System Neoplasms ,Central Nervous System Neoplasms ,0302 clinical medicine ,Pathology ,Medicine ,Pathology, Molecular ,Cancer ,0303 health sciences ,Brain ,3. Good health ,medicine.anatomical_structure ,Oncology ,classification ,030220 oncology & carcinogenesis ,brain tumor ,Central nervous system ,Oncology and Carcinogenesis ,Brain tumor ,World Health Organization ,central nervous system ,Humans ,brian tumor ,03 medical and health sciences ,MESH: Brain ,Rare Diseases ,Taxonomy (general) ,MESH: Central Nervous System ,CNS TUMORS ,Oncology & Carcinogenesis ,Letters to the Editor ,Grading (tumors) ,030304 developmental biology ,MESH: Pathology, Molecular ,MESH: Humans ,business.industry ,Neurosciences ,Molecular ,medicine.disease ,Brain Disorders ,Brain Cancer ,Neurology (clinical) ,Who classification ,business ,Neuroscience - Abstract
The fifth edition of the WHO Classification of Tumors of the Central Nervous System (CNS), published in 2021, is the sixth version of the international standard for the classification of brain and spinal cord tumors. Building on the 2016 updated fourth edition and the work of the Consortium to Inform Molecular and Practical Approaches to CNS Tumor Taxonomy, the 2021 fifth edition introduces major changes that advance the role of molecular diagnostics in CNS tumor classification. At the same time, it remains wedded to other established approaches to tumor diagnosis such as histology and immunohistochemistry. In doing so, the fifth edition establishes some different approaches to both CNS tumor nomenclature and grading and it emphasizes the importance of integrated diagnoses and layered reports. New tumor types and subtypes are introduced, some based on novel diagnostic technologies such as DNA methylome profiling. The present review summarizes the major general changes in the 2021 fifth edition classification and the specific changes in each taxonomic category. It is hoped that this summary provides an overview to facilitate more in-depth exploration of the entire fifth edition of the WHO Classification of Tumors of the Central Nervous System.
- Published
- 2021
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