在2021年, WHO 針對CNS腫瘤發表新的分期, 其中成人的glioma被分成以下幾種
Adult-type diffuse gliomas
Astrocytoma, IDH-mutant
Oligodendroglioma, IDH-mutant, and 1p/19q-codeleted
Glioblastoma, IDH-wildtype
Astrocytoma, IDH-mutant
Oligodendroglioma, IDH-mutant, and 1p/19q-codeleted
Glioblastoma, IDH-wildtype
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 tumors
Ganglioglioma (分類裡面有很多種, 但是這邊只列NCCN有提到的)
與此作對應, NCCN guideline 以及最新的2022 ASTRO guidelines 都做出相對應的調整, 以下就來細讀吧XD
ref.
1. The 2021 WHO Classification of Tumors of the Central Nervous System: a summary. Neuro Oncol. 2021;23(8):1231-1251.
2. Halasz, Lia M., et al. "Radiation Therapy for IDH-Mutant Grade 2 and Grade 3 Diffuse Glioma: An ASTRO Clinical Practice Guideline." Practical Radiation Oncology (2022).
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