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2021第五版中枢神经系统肿瘤分类(斜体为临时分类)

胶质瘤,胶质细胞瘤和神经细胞瘤

Gliomas, glioneuronal tumors, and neuronal tumors

成人型型弥漫性胶质瘤

Adult-type diffuse gliomas

星形细胞瘤,IDH突变

Astrocytoma, IDH-mutant

少突胶质细胞瘤,IDH突变和1p/19q缺失

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

胶质母细胞瘤,IDH野生型

Glioblastoma, IDH-wildtype

儿童型弥漫性低级别胶质瘤

Pediatric-type diffuse low-grade gliomas

弥漫性星形细胞瘤,MYBMYB1变异

Diffuse astrocytoma, MYB- or MYBL1-altered

血管中心性胶质瘤

Angiocentric glioma

青年多形态低级别神经上皮肿瘤

Polymorphous low-grade neuroepithelial tumor of the young

弥漫低级别胶质瘤,MAPK通路改变

Diffuse low-grade glioma, MAPK pathway-altered

儿童型弥漫性高级别胶质瘤

Pediatric-type diffuse high-grade gliomas

弥漫中线胶质瘤,H3 k27改变

Diffuse midline glioma, H3 K27-altered

弥漫半球胶质瘤,H3 G34 突变

Diffuse hemispheric glioma, H3 G34-mutant

弥漫儿型高级别胶质瘤,H3-野生型和IDH -野生型

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

婴儿型半球胶质瘤

Infant-type hemispheric glioma

局限性星形细胞胶质瘤

Circumscribed astrocytic gliomas

毛细胞性星形细胞胶质瘤

Pilocytic astrocytoma

高级别星形细胞胶质瘤,具有卵泡样特征

High-grade astrocytoma with piloid features

多形性黄色星形细胞瘤

Pleomorphic xanthoastrocytoma

室管膜下巨细胞星形细胞瘤

Subependymal giant cell astrocytoma

脊索样胶质瘤

Chordoid glioma

星形细胞瘤,MN1改变

Astroblastoma, MN1-altered

胶质神经元混合和神经元肿瘤

Glioneuronal and neuronal tumors

神经节胶质瘤

Ganglioglioma

促结缔组织增生性婴儿神经节胶质瘤/促结缔组织增生性婴儿星形细胞瘤

Desmoplastic infantile ganglioglioma / desmoplastic infantile astrocytoma

胚胎发育不良性神经上皮肿瘤

Dysembryoplastic neuroepithelial tumor

弥漫性胶质神经元瘤,具有少突胶质细胞样特征和簇状核

Diffuse glioneuronal tumor with oligodendroglioma-like features and nuclear clusters

乳头状胶质神经元瘤

Papillary glioneuronal tumor

菊型团形成性胶质神经元瘤

Rosette-forming glioneuronal tumor

黏液样胶质细胞瘤

Myxoid glioneuronal tumor

弥漫性软脑膜胶质神经元瘤

Diffuse leptomeningeal glioneuronal tumor

节细胞瘤

Gangliocytoma

多结节性和空泡性神经元瘤

Multinodular and vacuolating neuronal tumor

发育不良的小脑神经节细胞瘤(lhermitt - duclos)

Dysplastic cerebellar gangliocytoma (Lhermitte-Duclos disease)

中枢神经细胞瘤

Central neurocytoma

脑室外神经细胞瘤

Extraventricular neurocytoma

小脑脂肪神经细胞瘤

Cerebellar liponeurocytoma

室管膜瘤

Ependymal tumors

幕上室管膜

Supratentorial ependymoma

幕上室管膜瘤,ZFTA融合阳性

Supratentorial ependymoma, ZFTA fusion-positive

幕上室管膜瘤,YAP1融合阳性

Supratentorial ependymoma, YAP1 fusion-positive

颅后窝室管膜瘤

Posterior fossa ependymoma

后窝室管膜瘤,PFA

Posterior fossa ependymoma, group PFA

后窝室管膜瘤,PFB

Posterior fossa ependymoma, group PFB

脊髓室管膜瘤

Spinal ependymoma

脊髓室管膜瘤,MYCN扩增

Spinal ependymoma, MYCN-amplified

黏液乳头状室管膜瘤

Myxopapillary ependymoma

室管膜下室管膜瘤

Subependymoma

脉络膜丛肿瘤

Choroid plexus tumors

脉络膜丛乳头状瘤

Choroid plexus papilloma

非典型脉络膜丛乳头状瘤

Atypical choroid plexus papilloma

脉络膜丛癌

Choroid plexus carcinoma

胚胎性肿瘤

Embryonal tumors

髓母细胞瘤

Medulloblastoma

分子定义的髓母细胞瘤

Medulloblastomas, molecularly defined

髓母细胞瘤,WNT激活型

Medulloblastoma, WNT-activated

髓母细胞瘤,SHH激活的和tp53 -野型

Medulloblastoma, SHH-activated and TP53-wildtype

髓母细胞瘤,SHH激活和tp53 突变型

Medulloblastoma, SHH-activated and TP53-mutant

髓母细胞瘤,非WNT /SHH

Medulloblastoma, non-WNT/non-SHH

组织学定义髓母细胞瘤

Medulloblastomas, histologically defined

其他CNS胚胎性肿瘤

Other CNS embryonal tumors

非典型畸胎样/横纹肌样肿瘤

Atypical teratoid/rhabdoid tumor

筛状神经上皮性肿瘤

Cribriform neuroepithelial tumor

胚胎性肿瘤伴多层菊型团

Embryonal tumor with multilayered rosettes

CNS肿瘤,FOXR2激活型

CNS neuroblastoma, FOXR2-activated

中枢神经肿瘤BCOR内串复制

CNS tumor with BCOR internal tandem duplication

CNS胚胎性肿瘤

CNS embryonal tumor

松果体肿瘤

Pineal tumors

松果体细胞瘤

Pineocytoma

中分化松果体实质肿瘤

Pineal parenchymal tumor of intermediate differentiation

松果体母细胞瘤

Pineoblastoma

松果体区乳头状瘤

Papillary tumor of the pineal region

松果体区促结缔组织增生性黏液样肿瘤,SMARCB1突变

Desmoplastic myxoid tumor of the pineal region, SMARCB1-mutant

颅内及脊旁神经肿瘤

Cranial and paraspinal nerve tumors

神经鞘瘤

Schwannoma

神经纤维瘤

Neurofibroma

神经束膜瘤

Perineurioma

混合神经鞘瘤

Hybrid nerve sheath tumor

恶性黑素性神经鞘瘤

Malignant melanotic nerve sheath tumor

恶性周围神经鞘瘤

Malignant peripheral nerve sheath tumor

副神经节瘤

Paraganglioma

脑膜瘤

Meningiomas

脑膜瘤

Meningioma

非脑膜瘤间叶性肿瘤

Mesenchymal, non-meningothelial tumors

软组织肿瘤

Soft tissue tumors

纤维母细胞和肌纤维母细胞瘤

Fibroblastic and myofibroblastic tumors

孤立性纤维性肿瘤

Solitary fibrous tumor

血管瘤

Vascular tumors

血管瘤和血管畸形

Hemangiomas and vascular malformations

血管母细胞瘤

Hemangioblastoma

骨骼肌肿瘤

Skeletal muscle tumors

横纹肌肉瘤

Rhabdomyosarcoma

分化不确定

Uncertain differentiation

颅内间叶性肿瘤,FET-CREB融合阳性

Intracranial mesenchymal tumor, FET-CREB fusion-positive

CIC重排肉瘤

CIC-rearranged sarcoma

原发性颅内肉瘤,DICER1突变

Primary intracranial sarcoma, DICER1-mutant

Ewing肉瘤

Ewing sarcoma

软骨-骨肿瘤

Chondro-osseous tumors

软骨源性肿瘤

Chondrogenic tumors

间叶性软骨肉瘤

Mesenchymal chondrosarcoma

软骨肉瘤

Chondrosarcoma

脊索肿瘤

Notochordal tumors

脊索瘤(包括低分化脊索瘤)

Chordoma (including poorly differentiated chordoma)

黑素细胞瘤

Melanocytic tumors

弥漫性脑膜黑素细胞肿瘤

Diffuse meningeal melanocytic neoplasms

脑膜黑素细胞增生症和脑膜黑素细胞瘤病

Meningeal melanocytosis and meningeal melanomatosis

局限脑膜黑素细胞瘤

Circumscribed meningeal melanocytic neoplasms

脑膜黑素细胞瘤和脑膜黑色素瘤

Meningeal melanocytoma and meningeal melanoma

淋巴造血肿瘤

Hematolymphoid tumors

淋巴瘤

Lymphomas

CNS淋巴瘤

CNS lymphomas

CNS原发性弥漫性大B细胞淋巴瘤

Primary diffuse large B-cell lymphoma of the CNS

免疫缺陷相关的CNS淋巴瘤

Immunodeficiency-associated CNS lymphoma

淋巴瘤肉芽肿

Lymphomatoid granulomatosis

血管内大B细胞淋巴瘤

Intravascular large B-cell lymphoma

其它少见CNS淋巴瘤

Miscellaneous rare lymphomas in the CNS

硬脑膜MALT淋巴瘤

MALT Iymphoma of the dura

其他低级别B细胞淋巴瘤

Other low-grade B-cell lymphomas of the CNS

间变性大细胞淋巴瘤(ALK+/ALK-)

Anaplastic large cell lymphoma (ALK+/ALK-)

 T细胞和NK/T细胞淋巴瘤

T-cell and NK/T-cell lymphomas

组织细胞性肿瘤

Histiocytic tumors

erdheim - chester

Erdheim-Chester disease

Rosai - Dorfman

Rosai-Dorfman disease

幼年性黄色肉芽肿

Juvenile xanthogranuloma

朗格汉斯细胞组织细胞增生症

Langerhans cell histiocytosis

组织细胞肉瘤

Histiocytic sarcoma

生殖细胞肿瘤

Germ cell tumors

成熟畸胎瘤

Mature teratoma

不成熟畸胎瘤

Immature teratoma

畸胎瘤伴恶性体细胞肿瘤

Teratoma with somatic-type malignancy

生殖细胞瘤

Germinoma

胚胎癌

Embryonal carcinoma

卵囊瘤

Yolk sac tumor

绒毛膜癌

Choriocarcinoma

混合生殖细胞瘤

Mixed germ cell tumor

鞍区肿瘤

Tumors of the sellar region

造釉细胞性颅咽管瘤

Adamantinomatous craniopharyngioma

乳头状颅咽管瘤

Papillary craniopharyngioma

垂体细胞瘤、鞍区颗粒细胞瘤、梭形细胞嗜酸细胞瘤

Pituicytoma, granular cell tumor of the sellar region, and spindle cell oncocytoma

垂体腺瘤/垂体神经内分泌瘤

Pituitary adenoma/PitNET

垂体母细胞瘤

Pituitary blastoma

中枢神经系统转移癌

Metastases to the CNS

脑和脊髓转移癌

Metastases to the brain and spinal cord parenchyma

脑膜转移癌

Metastases to the meninges


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