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Acta Neuropathol. 2016 Jun;131(6):803-20. doi: 10.1007/s00401-016-1545-1. Epub 2016 May 9.

The 2016 World Health Organization Classification of Tumors of the Central Nervous System: a summary.

Author information

1
Department of Pathology, Massachusetts General Hospital, Harvard Medical School, WRN225, 55 Fruit Street, Boston, MA, 02114, USA. dlouis@mgh.harvard.edu.
2
Department of Pathology, University of California San Francisco, San Francisco, CA, USA.
3
Department of Neuropathology, Heinrich Heine University, Duesseldorf, Germany.
4
German Cancer Consortium (DKTK), Partner Site Essen/Duesseldorf, Germany.
5
Department of Neuropathology, Institute of Pathology, Ruprecht-Karls-University, Heidelberg, Germany.
6
Department of Pathology and Neuropathology, La Timone Hospital, Aix Marseille University, Marseille, France.
7
Ludwig Institute for Cancer Research, University of California San Diego, San Diego, CA, USA.
8
International Agency for Research on Cancer (IARC), Lyon, France.
9
German Cancer Research Center (DKFZ), Heidelberg, Germany.
10
Medical Faculty, University of Zurich, Zurich, Switzerland.
11
Department of Pathology, St. Jude Children's Research Hospital, Memphis, TN, USA.

Abstract

The 2016 World Health Organization Classification of Tumors of the Central Nervous System is both a conceptual and practical advance over its 2007 predecessor. For the first time, the WHO classification of CNS tumors uses molecular parameters in addition to histology to define many tumor entities, thus formulating a concept for how CNS tumor diagnoses should be structured in the molecular era. As such, the 2016 CNS WHO presents major restructuring of the diffuse gliomas, medulloblastomas and other embryonal tumors, and incorporates new entities that are defined by both histology and molecular features, including glioblastoma, IDH-wildtype and glioblastoma, IDH-mutant; diffuse midline glioma, H3 K27M-mutant; RELA fusion-positive ependymoma; medulloblastoma, WNT-activated and medulloblastoma, SHH-activated; and embryonal tumour with multilayered rosettes, C19MC-altered. The 2016 edition has added newly recognized neoplasms, and has deleted some entities, variants and patterns that no longer have diagnostic and/or biological relevance. Other notable changes include the addition of brain invasion as a criterion for atypical meningioma and the introduction of a soft tissue-type grading system for the now combined entity of solitary fibrous tumor / hemangiopericytoma-a departure from the manner by which other CNS tumors are graded. Overall, it is hoped that the 2016 CNS WHO will facilitate clinical, experimental and epidemiological studies that will lead to improvements in the lives of patients with brain tumors.

PMID:
27157931
DOI:
10.1007/s00401-016-1545-1
[Indexed for MEDLINE]
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