JPAC Joint United Kingdom (UK) Blood Transfusion and Tissue Transplantation Services Professional Advisory Committee

Appendix 5 - Grading of selected central nervous system tumours (WHO 2016 classification)

Diffuse astrocytic and oligodendroglial tumours I II III IV

Diffuse astrocytoma, IDH-mutant

 

   

Anaplastic astrocytoma, IDH-mutant

 

 

 

Glioblastoma, IDH-wildtype

 

 

 

Glioblastoma, IDH-mutant

 

 

 

Diffuse midline glioma, H3K27M-mutant

 

 

 

Oligodendroglioma, IDH-mutant and 1p/19q-codeleted

 

 

 

Anaplastic oligodendroglioma, IDH-mutant and 1p/19q-codeleted

 

 

 

 

Other astrocytic tumours I II III IV

Pilocytic astrocytoma

 

 

   

Subependymal giant cell astrocytoma

 

 

 

 

Pleomorphic xanthoastrocytoma

 

 

 

 

Anaplastic pleomorphic xanthoastrocytoma

 

 

 

 

 


Ependymal tumours
I II III IV

Subependymoma

 

 

   

Myxopapillary ependymoma

 

 

 

 

Ependymoma

 

 

 

 

Ependymoma, RELA fusion-positive

 

 

  

 

Anaplastic ependymoma

 

 

  

 

 

Other gliomas I II III IV

Angiocentric glioma

 

 

   

Chordoid glioma of third ventricle

 

 

 

 

 

Choroid plexus tumours I II III IV

Choroid plexus papilloma

 

 

   

Atypical choroid plexus papilloma

 

 

 

 

Choroid plexus carcinoma

 

 

 

 

 

Tumours of the pineal region I II III IV

Pineocytoma

 

 

   

Pineal parenchymal tumour of intermediate differentiation

 

 

 

Pineoblastoma

 

 

 

Papillary tumour of the pineal region

 

 

 

 

 

Meningiomas I II III IV

Meningioma

 

 

   

Atypical meningioma

 

 

 

 

Anaplastic (malignant) meningioma

 

 

 

 

 

Embryonal tumours I II III IV

Medulloblastoma (all subtypes)

 

 

 

Embryonal tumour with multi-layered rosettes, C19MC-altered

 

 

 

Medulloepithelioma

 

 

 

CNS embryonal tumour, NOS

 

 

 

Atypical teratoid/rhabdoid tumour

 

 

 

CNS embryonal tumour with rhabdoid features

 

 

 

 

Neuronal and mixed neuronal-glial tumours  I II III IV

Dysembryoplastic neuroepithelial tumour 

 

   

Gangliocytoma

 

 

 

Ganglioglioma

 

 

 

Anaplastic ganglioglioma

 

 

 

Dysplastic gangliocytoma of cerebellum (Lhermitte–Duclos) 

 

 

 

Desmoplastic infantile astrocytoma and ganglioglioma

 

 

 

Papillary glioneuronal tumour

 

 

 
Rosette-forming glioneuronal tumour      

Central neurocytoma

     
Extraventricular neurocytoma      
Cerebellar liponeurocytoma      

 

Tumours of the cranial and paraspinal nerves I II III IV

Schwannoma

 

   

Neurofibroma

 

 

 

Perineurioma

 

 

 

Malignant peripheral nerve sheath tumour (MPNST)

 

 

 

 

Mesenchymal, non-meningothelial tumours  I II III IV

Solitary fibrous tumour/haemangiopericytoma

   

Haemangioblastoma

 

 

 

 

Tumours of the sellar region  I II III IV

Craniopharyngioma 

 

 

   

Granular cell tumour

 

 

 

 

Pituicytoma

 

 

 

 

Spindle cell oncocytoma

 

 

 

 

 

 

Source: adapted from: Louis DN, Ohgaki H, Wiestler OD et al. (2016) World Health Organization histological classification of tumours of the central nervous system. Geneva: WHO Press/Lyon: International Agency for Research on Cancer.

 

Last updated 30/09/2019