Astrocytoma classification: Difference between revisions
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In addition to these four tumor grades, astrocytomas may combine with oligodendrocytes to produce [[oligoastrocytoma]]. Unique astrocytoma variants have also been known to exist. | In addition to these four tumor grades, astrocytomas may combine with oligodendrocytes to produce [[oligoastrocytoma]]. Unique astrocytoma variants have also been known to exist. | ||
==See Also== | |||
{{main|pilocytic astrocytoma|glioblastoma multiforme}} | |||
==References== | ==References== |
Revision as of 00:32, 20 August 2015
Astrocytoma Microchapters |
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Astrocytoma classification On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
There are two broad classes of classification identified within astrocytomas, based on histology, as to whether the zones of infiltration of cancer cells are narrow or diffuse.
Classification
Within the astrocytomas, there are two broad classes recognized in literature, those with:
- Narrow zones of infiltration (mostly invasive tumors; e.g., pilocytic astrocytoma, subependymal giant cell astrocytoma, pleomorphic xanthoastrocytoma), that often are clearly outlined on diagnostic images
- Diffuse zones of infiltration (e.g., low-grade astrocytoma, anaplastic astrocytoma, glioblastoma), that share various features, including the ability to arise at any location in the CNS, but with a preference for the cerebral hemispheres; they occur usually in adults; and an intrinsic tendency to progress to more advanced grades.[1]
Grading
Astrocytomas have great variation in their presentation. The World Health Organization acknowledges the following grading system for astrocytomas:
- Grade 1 — pilocytic astrocytoma - primarily pediatric tumor, with median age at diagnosis of 12
- Grade 2 — diffuse astrocytoma
- Grade 3 — anaplastic (malignant) astrocytoma
- Grade 4 — glioblastoma multiforme (most common)
In addition to these four tumor grades, astrocytomas may combine with oligodendrocytes to produce oligoastrocytoma. Unique astrocytoma variants have also been known to exist.
See Also