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HomeWHO CNS Tumor Grade (2021)
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WHO CNS Tumor Grade (2021)

Clinical Context & Background

The 2021 WHO Classification of Tumors of the Central Nervous System classifies tumors into Grades 1 to 4 based on histology and molecular markers. Unlike previous editions, grading is now done within tumor types (e.g., IDH-mutant Astrocytoma is Grade 2-4) rather than across types. Higher grades indicate increased aggressiveness and poorer prognosis.
Formula Logic
Classification based on malignancy, mitoses, necrosis, and molecular features.

Reference Data

GradeBiological BehaviorPrognosis
Grade 1Low proliferative potentialExcellent (Curative with surgery)
Grade 2Infiltrative, low mitotic activityGood (Often recur, can progress)
Grade 3Histological malignancyIntermediate (Aggressive, adjuvant tx needed)
Grade 4Necrosis/Microvascular proliferationPoor (Very aggressive, rapid evolution)

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Evidence-based oncology decision support. Verify with clinical guidelines.