World Health Organization Classification of Tumors of the Central Nervous System 5th Edition (WHO CNS5): What's new?

The latest fifth edition of the World Health Organization classification of central nervous system tumors (WHO CNS5) has been built on the prior WHO 2016 classification as well as recommendations put forward by seven updates of the Consortium to Inform Molecular and Practical Approaches to CNS Tumor...

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Main Authors: Swati Mahajan, Vaishali Suri, Saumya Sahu, Mehar C Sharma, Chitra Sarkar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Indian Journal of Pathology and Microbiology
Subjects:
Online Access:http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2022;volume=65;issue=5;spage=5;epage=13;aulast=Mahajan
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author Swati Mahajan
Vaishali Suri
Saumya Sahu
Mehar C Sharma
Chitra Sarkar
author_facet Swati Mahajan
Vaishali Suri
Saumya Sahu
Mehar C Sharma
Chitra Sarkar
author_sort Swati Mahajan
collection DOAJ
description The latest fifth edition of the World Health Organization classification of central nervous system tumors (WHO CNS5) has been built on the prior WHO 2016 classification as well as recommendations put forward by seven updates of the Consortium to Inform Molecular and Practical Approaches to CNS Tumor Taxonomy (cIMPACT). Various new tumor types and subtypes have been recognized which are of clinical significance. Tumor groups have been restructured and the nomenclature of some tumor types has also been revised. The use of terms 'entity' and 'variant' have been replaced by 'type' and 'subtype'. Significant changes have been introduced in the grading of tumors viz. use of Arabic numerals, grading within individual tumor types and combined histological and molecular grading. The terms 'Not otherwise specified' and 'Not elsewhere classified' can now be used for all tumor types. WHO CNS5 also for the first time endorses the use of DNA methylation profiling for the diagnosis of some tumor types/subtypes. Finally, the importance of combining histology with molecular parameters is emphasized for the “layered reporting” and “integrated diagnosis”, which will provide valuable diagnostic, prognostic, and predictive information, as well as for some entities, suggest targeted therapies.
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spelling doaj.art-43d1823c27d140bfa804a13e970746f52022-12-22T00:22:51ZengWolters Kluwer Medknow PublicationsIndian Journal of Pathology and Microbiology0377-49292022-01-0165551310.4103/ijpm.ijpm_48_22World Health Organization Classification of Tumors of the Central Nervous System 5th Edition (WHO CNS5): What's new?Swati MahajanVaishali SuriSaumya SahuMehar C SharmaChitra SarkarThe latest fifth edition of the World Health Organization classification of central nervous system tumors (WHO CNS5) has been built on the prior WHO 2016 classification as well as recommendations put forward by seven updates of the Consortium to Inform Molecular and Practical Approaches to CNS Tumor Taxonomy (cIMPACT). Various new tumor types and subtypes have been recognized which are of clinical significance. Tumor groups have been restructured and the nomenclature of some tumor types has also been revised. The use of terms 'entity' and 'variant' have been replaced by 'type' and 'subtype'. Significant changes have been introduced in the grading of tumors viz. use of Arabic numerals, grading within individual tumor types and combined histological and molecular grading. The terms 'Not otherwise specified' and 'Not elsewhere classified' can now be used for all tumor types. WHO CNS5 also for the first time endorses the use of DNA methylation profiling for the diagnosis of some tumor types/subtypes. Finally, the importance of combining histology with molecular parameters is emphasized for the “layered reporting” and “integrated diagnosis”, which will provide valuable diagnostic, prognostic, and predictive information, as well as for some entities, suggest targeted therapies.http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2022;volume=65;issue=5;spage=5;epage=13;aulast=Mahajan5th editioncnsupdateswho
spellingShingle Swati Mahajan
Vaishali Suri
Saumya Sahu
Mehar C Sharma
Chitra Sarkar
World Health Organization Classification of Tumors of the Central Nervous System 5th Edition (WHO CNS5): What's new?
Indian Journal of Pathology and Microbiology
5th edition
cns
updates
who
title World Health Organization Classification of Tumors of the Central Nervous System 5th Edition (WHO CNS5): What's new?
title_full World Health Organization Classification of Tumors of the Central Nervous System 5th Edition (WHO CNS5): What's new?
title_fullStr World Health Organization Classification of Tumors of the Central Nervous System 5th Edition (WHO CNS5): What's new?
title_full_unstemmed World Health Organization Classification of Tumors of the Central Nervous System 5th Edition (WHO CNS5): What's new?
title_short World Health Organization Classification of Tumors of the Central Nervous System 5th Edition (WHO CNS5): What's new?
title_sort world health organization classification of tumors of the central nervous system 5th edition who cns5 what s new
topic 5th edition
cns
updates
who
url http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2022;volume=65;issue=5;spage=5;epage=13;aulast=Mahajan
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