Oligodendroglioma classification: Difference between revisions
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==Classification== | ==Classification== | ||
* The 2016 edition of WHO classification of gliomas is based not only on histopathologic appearance but also on well-established molecular parameters | * The 2016 edition of WHO classification of gliomas is based not only on histopathologic appearance but also on well-established molecular parameters | ||
* | * In 2016 updated World Health Organization (WHO) classification of central nervous system tumors, oligodendroglial tumors are now more narrowly defined by molecular diagnostics to include only those diffuse gliomas having both a mutation in isocitrate dehydrogenase type 1 (''IDH1'') or type 2 (''IDH2'') '''and''' codeletion of chromosomes 1p and 19q<ref name="pmid27295314">{{cite journal| author=Perry A| title=WHO's arrived in 2016! An updated weather forecast for integrated brain tumor diagnosis. | journal=Brain Tumor Pathol | year= 2016 | volume= 33 | issue= 3 | pages= 157-60 | pmid=27295314 | doi=10.1007/s10014-016-0266-4 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27295314 }} </ref><ref name="pmid27157931">{{cite journal| author=Louis DN, Perry A, Reifenberger G, von Deimling A, Figarella-Branger D, Cavenee WK et al.| title=The 2016 World Health Organization Classification of Tumors of the Central Nervous System: a summary. | journal=Acta Neuropathol | year= 2016 | volume= 131 | issue= 6 | pages= 803-20 | pmid=27157931 | doi=10.1007/s00401-016-1545-1 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27157931 }} </ref><ref name="pmid20464403">{{cite journal| author=Perry A, Burton SS, Fuller GN, Robinson CA, Palmer CA, Resch L et al.| 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survival in patients with anaplastic oligodendrogliomas. | journal=J Natl Cancer Inst | year= 1998 | volume= 90 | issue= 19 | pages= 1473-9 | pmid=9776413 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9776413 }} </ref><ref name="pmid15977639">{{cite journal| author=Ohgaki H, Kleihues P| title=Population-based studies on incidence, survival rates, and genetic alterations in astrocytic and oligodendroglial gliomas. | journal=J Neuropathol Exp Neurol | year= 2005 | volume= 64 | issue= 6 | pages= 479-89 | pmid=15977639 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15977639 }} </ref><ref name="pmid21088844">{{cite journal| author=Hartmann C, Hentschel B, Wick W, Capper D, Felsberg J, Simon M et al.| title=Patients with IDH1 wild type anaplastic astrocytomas exhibit worse prognosis than IDH1-mutated glioblastomas, and IDH1 mutation status accounts for the unfavorable prognostic effect of higher age: implications for classification of gliomas. | journal=Acta Neuropathol | year= 2010 | volume= 120 | issue= 6 | pages= 707-18 | pmid=21088844 | doi=10.1007/s00401-010-0781-z | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21088844 }} </ref><ref name="pmid26061753">{{cite journal| author=Eckel-Passow JE, Lachance DH, Molinaro AM, Walsh KM, Decker PA, Sicotte H et al.| title=Glioma Groups Based on 1p/19q, IDH, and TERT Promoter Mutations in Tumors. | journal=N Engl J Med | year= 2015 | volume= 372 | issue= 26 | pages= 2499-508 | pmid=26061753 | doi=10.1056/NEJMoa1407279 | pmc=4489704 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26061753 }} </ref><ref name="pmid25668564">{{cite journal| author=Mur P, Mollejo M, Hernández-Iglesias T, de Lope ÁR, Castresana JS, García JF et al.| title=Molecular classification defines 4 prognostically distinct glioma groups irrespective of diagnosis and grade. | journal=J Neuropathol Exp Neurol | year= 2015 | volume= 74 | issue= 3 | pages= 241-9 | pmid=25668564 | doi=10.1097/NEN.0000000000000167 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25668564 }} </ref><ref name="pmid25962792">{{cite journal| author=Reuss DE, Mamatjan Y, Schrimpf D, Capper D, Hovestadt V, Kratz A et al.| title=IDH mutant diffuse and anaplastic astrocytomas have similar age at presentation and little difference in survival: a grading problem for WHO. | journal=Acta Neuropathol | year= 2015 | volume= 129 | issue= 6 | pages= 867-73 | pmid=25962792 | doi=10.1007/s00401-015-1438-8 | pmc=4500039 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25962792 }} </ref><ref name="pmid25701198">{{cite journal| author=Olar A, Wani KM, Alfaro-Munoz KD, Heathcock LE, van Thuijl HF, Gilbert MR et al.| title=IDH mutation status and role of WHO grade and mitotic index in overall survival in grade II-III diffuse gliomas. | journal=Acta Neuropathol | year= 2015 | volume= 129 | issue= 4 | pages= 585-96 | pmid=25701198 | doi=10.1007/s00401-015-1398-z | pmc=4369189 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25701198 }} </ref><ref name="pmid30467813">{{cite journal| author=Delev D, Heiland DH, Franco P, Reinacher P, Mader I, Staszewski O et al.| title=Surgical management of lower-grade glioma in the spotlight of the 2016 WHO classification system. | journal=J Neurooncol | year= 2019 | volume= 141 | issue= 1 | pages= 223-233 | pmid=30467813 | doi=10.1007/s11060-018-03030-w | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30467813 }} </ref><ref name="pmid29470683">{{cite journal| author=Iuchi T, Sugiyama T, Ohira M, Kageyama H, Yokoi S, Sakaida T et al.| title=Clinical significance of the 2016 WHO classification in Japanese patients with gliomas. | journal=Brain Tumor Pathol | year= 2018 | volume= 35 | issue= 2 | pages= 71-80 | pmid=29470683 | doi=10.1007/s10014-018-0309-0 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29470683 }} </ref><ref name="pmid17549014">{{cite journal| author=Kros JM, Gorlia T, Kouwenhoven MC, Zheng PP, Collins VP, Figarella-Branger D et al.| title=Panel review of anaplastic oligodendroglioma from European Organization For Research and Treatment of Cancer Trial 26951: assessment of consensus in diagnosis, influence of 1p/19q loss, and correlations with outcome. | journal=J Neuropathol Exp Neurol | year= 2007 | volume= 66 | issue= 6 | pages= 545-51 | pmid=17549014 | doi=10.1097/01.jnen.0000263869.84188.72 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17549014 }} </ref><ref name="pmid20644945">{{cite journal| author=van den Bent MJ| title=Interobserver variation of the histopathological diagnosis in clinical trials on glioma: a clinician's perspective. | journal=Acta Neuropathol | year= 2010 | volume= 120 | issue= 3 | pages= 297-304 | pmid=20644945 | doi=10.1007/s00401-010-0725-7 | pmc=2910894 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20644945 }} </ref><ref name="pmid7977648">{{cite journal| author=Reifenberger J, Reifenberger G, Liu L, James CD, Wechsler W, Collins VP| title=Molecular genetic analysis of oligodendroglial tumors shows preferential allelic deletions on 19q and 1p. | journal=Am J Pathol | year= 1994 | volume= 145 | issue= 5 | pages= 1175-90 | pmid=7977648 | doi= | pmc=1887413 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7977648 }} </ref><ref name="pmid11801559">{{cite journal| author=Ueki K, Nishikawa R, Nakazato Y, Hirose T, Hirato J, Funada N et al.| title=Correlation of histology and molecular genetic analysis of 1p, 19q, 10q, TP53, EGFR, CDK4, and CDKN2A in 91 astrocytic and oligodendroglial tumors. | journal=Clin Cancer Res | year= 2002 | volume= 8 | issue= 1 | pages= 196-201 | pmid=11801559 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11801559 }} </ref><ref name="pmid11245209">{{cite journal| author=Giannini C, Scheithauer BW, Weaver AL, Burger PC, Kros JM, Mork S et al.| title=Oligodendrogliomas: reproducibility and prognostic value of histologic diagnosis and grading. | journal=J Neuropathol Exp Neurol | year= 2001 | volume= 60 | issue= 3 | pages= 248-62 | pmid=11245209 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11245209 }} </ref><ref name="pmid17135643">{{cite journal| author=Miller CR, Dunham CP, Scheithauer BW, Perry A| title=Significance of necrosis in grading of oligodendroglial neoplasms: a clinicopathologic and genetic study of newly diagnosed high-grade gliomas. | journal=J Clin Oncol | year= 2006 | volume= 24 | issue= 34 | pages= 5419-26 | pmid=17135643 | doi=10.1200/JCO.2006.08.1497 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17135643 }} </ref><ref name="pmid24100794">{{cite journal| author=Komori T, Hirose T, Shibuya M, Suzuki H, Tanaka S, Sasaki A| title=Controversies over the diagnosis of oligodendroglioma: a report from the satellite workshop at the 4th international symposium of brain tumor pathology, Nagoya Congress Center, May 23, 2012. | journal=Brain Tumor Pathol | year= 2013 | volume= 30 | issue= 4 | pages= 253-61 | pmid=24100794 | doi=10.1007/s10014-013-0165-x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24100794 }} </ref><ref name="pmid23979650">{{cite journal| author=Takahashi K, Tsuda M, Kanno H, Murata J, Mahabir R, Ishida Y et al.| title=Differential diagnosis of small cell glioblastoma and anaplastic oligodendroglioma: a case report of an elderly man. | journal=Brain Tumor Pathol | year= 2014 | volume= 31 | issue= 2 | pages= 118-23 | pmid=23979650 | doi=10.1007/s10014-013-0158-9 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23979650 }} </ref><ref name="pmid25143301">{{cite journal| author=Sahm F, Reuss D, Koelsche C, Capper D, Schittenhelm J, Heim S et al.| title=Farewell to oligoastrocytoma: in situ molecular genetics favor classification as either oligodendroglioma or astrocytoma. | journal=Acta Neuropathol | year= 2014 | volume= 128 | issue= 4 | pages= 551-9 | pmid=25143301 | doi=10.1007/s00401-014-1326-7 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25143301 }} </ref><ref name="pmid19228619">{{cite journal| author=Yan H, Parsons DW, Jin G, McLendon R, Rasheed BA, Yuan W et al.| title=IDH1 and IDH2 mutations in gliomas. | journal=N Engl J Med | year= 2009 | volume= 360 | issue= 8 | pages= 765-73 | pmid=19228619 | doi=10.1056/NEJMoa0808710 | pmc=2820383 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19228619 }} </ref><ref name="pmid19554337">{{cite journal| author=Hartmann C, Meyer J, Balss J, Capper D, Mueller W, Christians A et al.| title=Type and frequency of IDH1 and IDH2 mutations are related to astrocytic and oligodendroglial differentiation and age: a study of 1,010 diffuse gliomas. | journal=Acta Neuropathol | year= 2009 | volume= 118 | issue= 4 | pages= 469-74 | pmid=19554337 | doi=10.1007/s00401-009-0561-9 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19554337 }} </ref><ref name="pmid25848751">{{cite journal| author=Suzuki H, Aoki K, Chiba K, Sato Y, Shiozawa Y, Shiraishi Y et al.| title=Mutational landscape and clonal architecture in grade II and III gliomas. | journal=Nat Genet | year= 2015 | volume= 47 | issue= 5 | pages= 458-68 | pmid=25848751 | doi=10.1038/ng.3273 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25848751 }} </ref><ref name="pmid24990071">{{cite journal| author=Louis DN, Perry A, Burger P, Ellison DW, Reifenberger G, von Deimling A et al.| title=International Society Of Neuropathology--Haarlem consensus guidelines for nervous system tumor classification and grading. | journal=Brain Pathol | year= 2014 | volume= 24 | issue= 5 | pages= 429-35 | pmid=24990071 | doi=10.1111/bpa.12171 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24990071 }} </ref><ref name="pmid12185780">{{cite journal| author=Radner H, Blümcke I, Reifenberger G, Wiestler OD| title=[The new WHO classification of tumors of the nervous system 2000. Pathology and genetics]. | journal=Pathologe | year= 2002 | volume= 23 | issue= 4 | pages= 260-83 | pmid=12185780 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12185780 }} </ref><ref name="pmid26210286">{{cite journal| author=Leeper HE, Caron AA, Decker PA, Jenkins RB, Lachance DH, Giannini C| title=IDH mutation, 1p19q codeletion and ATRX loss in WHO grade II gliomas. | journal=Oncotarget | year= 2015 | volume= 6 | issue= 30 | pages= 30295-305 | pmid=26210286 | doi=10.18632/oncotarget.4497 | pmc=4745799 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26210286 }} </ref><ref name="pmid24470545">{{cite journal| author=Sabha N, Knobbe CB, Maganti M, Al Omar S, Bernstein M, Cairns R et al.| title=Analysis of IDH mutation, 1p/19q deletion, and PTEN loss delineates prognosis in clinical low-grade diffuse gliomas. | journal=Neuro Oncol | year= 2014 | volume= 16 | issue= 7 | pages= 914-23 | pmid=24470545 | doi=10.1093/neuonc/not299 | pmc=4057130 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24470545 }} </ref><ref name="pmid26957363">{{cite journal| author=Yang P, Cai J, Yan W, Zhang W, Wang Y, Chen B et al.| title=Classification based on mutations of TERT promoter and IDH characterizes subtypes in grade II/III gliomas. | journal=Neuro Oncol | year= 2016 | volume= 18 | issue= 8 | pages= 1099-108 | pmid=26957363 | doi=10.1093/neuonc/now021 | pmc=4933482 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26957363 }} </ref><ref name="pmid25150284">{{cite journal| author=Labussière M, Boisselier B, Mokhtari K, Di Stefano AL, Rahimian A, Rossetto M et al.| title=Combined analysis of TERT, EGFR, and IDH status defines distinct prognostic glioblastoma classes. | journal=Neurology | year= 2014 | volume= 83 | issue= 13 | pages= 1200-6 | pmid=25150284 | doi=10.1212/WNL.0000000000000814 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25150284 }} </ref><ref name="pmid22661320">{{cite journal| author=Khuong-Quang DA, Buczkowicz P, Rakopoulos P, Liu XY, Fontebasso AM, Bouffet E et al.| title=K27M mutation in histone H3.3 defines clinically and biologically distinct subgroups of pediatric diffuse intrinsic pontine gliomas. | journal=Acta Neuropathol | year= 2012 | volume= 124 | issue= 3 | pages= 439-47 | pmid=22661320 | doi=10.1007/s00401-012-0998-0 | pmc=3422615 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22661320 }} </ref><ref name="pmid26399631">{{cite journal| author=Castel D, Philippe C, Calmon R, Le Dret L, Truffaux N, Boddaert N et al.| title=Histone H3F3A and HIST1H3B K27M mutations define two subgroups of diffuse intrinsic pontine gliomas with different prognosis and phenotypes. | journal=Acta Neuropathol | year= 2015 | volume= 130 | issue= 6 | pages= 815-27 | pmid=26399631 | doi=10.1007/s00401-015-1478-0 | pmc=4654747 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26399631 }} </ref><ref name="pmid27038188">{{cite journal| author=Castel D, Grill J, Debily MA| title=Histone H3 genotyping refines clinico-radiological diagnostic and prognostic criteria in DIPG. | journal=Acta Neuropathol | year= 2016 | volume= 131 | issue= 5 | pages= 795-6 | pmid=27038188 | doi=10.1007/s00401-016-1568-7 | pmc=4835508 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27038188 }} </ref><ref name="pmid22869205">{{cite journal| author=Jiao Y, Killela PJ, Reitman ZJ, Rasheed AB, Heaphy CM, de Wilde RF et al.| title=Frequent ATRX, CIC, FUBP1 and IDH1 mutations refine the classification of malignant gliomas. | journal=Oncotarget | year= 2012 | volume= 3 | issue= 7 | pages= 709-22 | pmid=22869205 | doi=10.18632/oncotarget.588 | pmc=3443254 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22869205 }} </ref><ref name="pmid22072542">{{cite journal| author=Yip S, Butterfield YS, Morozova O, Chittaranjan S, Blough MD, An J et al.| title=Concurrent CIC mutations, IDH mutations, and 1p/19q loss distinguish oligodendrogliomas from other cancers. | journal=J Pathol | year= 2012 | volume= 226 | issue= 1 | pages= 7-16 | pmid=22072542 | doi=10.1002/path.2995 | pmc=3246739 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22072542 }} </ref><ref name="pmid23681562">{{cite journal| author=Frenel JS, Leux C, Loussouarn D, Le Loupp AG, Leclair F, Aumont M et al.| title=Combining two biomarkers, IDH1/2 mutations and 1p/19q codeletion, to stratify anaplastic oligodendroglioma in three groups: a single-center experience. | journal=J Neurooncol | year= 2013 | volume= 114 | issue= 1 | pages= 85-91 | pmid=23681562 | doi=10.1007/s11060-013-1152-0 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23681562 }} </ref> | ||
{| class="wikitable" | {| class="wikitable" | ||
|+'''2016 World Health Organization (WHO) classification of diffuse astrocytic and oligodendroglial tumors''' | |+'''2016 World Health Organization (WHO) classification of diffuse astrocytic and oligodendroglial tumors''' |
Revision as of 15:17, 14 May 2019
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Sara Mohsin, M.D.[2]Sujit Routray, M.D. [3]
Overview
Oligodendroglioma may be classified according to the WHO classification of the central nervous system tumors into five subtypes: oligodendroglioma (OII), anaplastic oligodendroglioma (OIII), oligoastrocytoma (OAII), anaplastic oligoastrocytoma (OAIII), and glioblastoma with oligodendroglioma component (GBMo).
Classification
- The 2016 edition of WHO classification of gliomas is based not only on histopathologic appearance but also on well-established molecular parameters
- In 2016 updated World Health Organization (WHO) classification of central nervous system tumors, oligodendroglial tumors are now more narrowly defined by molecular diagnostics to include only those diffuse gliomas having both a mutation in isocitrate dehydrogenase type 1 (IDH1) or type 2 (IDH2) and codeletion of chromosomes 1p and 19q[1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41]
Tumor classification | Tumor grade | Defining* or characteristic molecular genetic features |
---|---|---|
Astrocytic tumors | ||
Diffuse astrocytoma, IDH-mutant | II | IDH1/2 mutation*, TP53 mutation, ATRX mutation |
Diffuse astrocytoma, IDH-wildtype | II | No IDH1/2 mutation |
Anaplastic astrocytoma, IDH-mutant | III | IDH1/2 mutation*, TP53 mutation, ATRX mutation |
Anaplastic astrocytoma, IDH-wildtype | III | No IDH1/2 mutation |
Glioblastoma, IDH-mutant | IV | IDH1/2 mutation*, TP53 mutation, ATRX mutation |
Glioblastoma, IDH-wildtype | IV | No IDH1/2 mutation, TERT promoter mutations |
Glioblastoma, NOS | IV | Genetic testing not done or inconclusive |
Midline diffuse glioma, H3 K27M-mutant | IV | H3 K27M mutation* |
Oligodendroglial tumors | ||
Oligodendroglioma, IDH-mutant and 1p/19q-codeleted | II | IDH1/2 mutation*, 1p/19q-codeletion*, no ATRX mutation, TERTpromoter mutations |
Oligodendroglioma, NOS | II | Genetic testing not done or inconclusive |
Oligoastrocytoma, NOS | II | Genetic testing not done or inconclusive |
Anaplastic oligodendroglioma, IDH-mutant and 1p/19q-codeleted | III | IDH1/2 mutation*, 1p/19q-codeletion*, no ATRX mutation, TERTpromoter mutations |
Anaplastic oligodendroglioma, NOS | III | Genetic testing not done or inconclusive |
Anaplastic oligoastrocytoma, NOS | III | Genetic testing not done or inconclusive |
IDH: isocitrate dehydrogenase; NOS: not otherwise specified
* Alterations that define the WHO classification entity are marked by an asterisk
Data from: WHO classification of tumours of the central nervous system, revised 4th ed, Louis DN, Ohgaki H, Wiestler OD, Cavenee WK (Eds), IARC, Lyon 2016
- Oligodendroglioma may be classified according to the 2007 WHO classification of the central nervous system tumors into five subtypes:[42]
WHO classification of tumors of CNS | |||||||||||||||||||||||||||||||||||||||||||||
WHO grade II | WHO grade III | WHO grade IV | |||||||||||||||||||||||||||||||||||||||||||
Oligodendroglioma (OII) | |||||||||||||||||||||||||||||||||||||||||||||
Reference
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