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. 2022 Jul 26;164(9):2453–2464. doi: 10.1007/s00701-022-05301-y

Table 4.

WHO CNS5 classification of gliomas, glioneuronal and neuronal tumours

Tumour group Types
Adult-type diffuse gliomas

- Astrocytoma, IDH-mutant

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

- Glioblastoma, IDH-wildtype

Paediatric-type diffuse low-grade gliomas

- Diffuse astrocytoma, MYB- or MYBL1-altered

- Angiocentric glioma

- Polymorphous low-grade neuroepithelial tumour of the young

- Diffuse low-grade glioma, MAPK pathway-altered

Paediatric-type diffuse high-grade gliomas

- Diffuse midline glioma, H3 K27-altered

- Diffuse hemispheric glioma, H3 G34-mutant

- Diffuse paediatric-type high-grade glioma, H3-wildtype and IDH-wildtype

- Infant-type hemispheric glioma

Circumscribed astrocytic gliomas

- Pilocytic astrocytoma

- High-grade astrocytoma with piloid features

- Pleomorphic xanthoastrocytoma

- Subependymal giant cell astrocytoma

- Chordoid glioma

- Astroblastoma, MN1-altered

Glioneuronal and neuronal tumours

- Ganglioglioma

- Desmoplastic infantile ganglioglioma/desmoplastic infantile astrocytoma

- Dysembryoplastic neuroepithelial tumour

- Diffuse glioneuronal tumour with oligodendroglioma-like features and nuclear clusters

- Papillary glioneuronal tumour

- Rosette-forming glioneuronal tumour

- Myxoid glioneuronal tumour

- Diffuse leptomeningeal glioneuronal tumour

- Gangliocytoma

- Multinodular and vacuolating neuronal tumour

- Dysplastic cerebellar gangliocytoma (Lhermitte-Duclos disease)

- Central neurocytoma

- Extraventricular neurocytoma

- Cerebellar liponeurocytoma

Ependymomas

- Supratentorial ependymoma

- Supratentorial ependymoma (ZFTA or YAP1 fusion-positive)

- Posterior fossa ependymoma

- Posterior fossa ependymoma (PFA or PFB group)

- Pinal ependymoma

- Spinal ependymoma, MYCN amplified

- Myxopapillary ependymoma

- Subependymoma