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The 2021 WHO Classification of Tumors of the Central Nervous System: a summary

2021· review· en· 11,779 citations· W3174246647 on OpenAlex· 10.1093/neuonc/noab106

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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.

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The record

Venue
Neuro-Oncology
Topic
Glioma Diagnosis and Treatment
Field
Medicine
Canadian institutions
SickKids FoundationHospital for Sick ChildrenUniversity of Toronto
Funders
Brain Tumour CharityWorld Health Organization
Keywords
Grading (engineering)NomenclatureCentral nervous systemMedical diagnosisBrain tumorClassification schemePathologyBiologyTaxonomy (biology)Computer scienceMedicineNeuroscienceBioinformaticsInformation retrievalZoology
Has abstract in OpenAlex
yes