Medulloblastoma classification

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Haytham Allaham, M.D. [2]

Overview

Medulloblastoma may be classified into several subtypes based on WHO 2007 histological classification system (classic vs variant medulloblastoma) and the molecular subtypes classification system (WNT subgroup vs SHH subgroup vs Group 3 medulloblastoma vs Group 4 medulloblastoma).[1][2][3][4][5]

Classification

WHO histological classification system

  • Medulloblastoma may be classified into two subtypes based on WHO 2007 histological classification system which include classic medulloblastoma and variant medulloblastoma.
  • Other variants of medulloblastoma include desmoplastic medulloblastoma, large cell medulloblastoma, anaplastic​ medulloblastoma and medulloblastoma with extensive nodularity.[4][5][2]


 
 
 
 
 
WHO 2007 histological classification system
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Classic medulloblastoma
 
 
 
 
 
Variant medulloblastoma
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Desmoplastic medulloblastoma
 
Large cell medulloblastoma
 
Anaplastic​ medulloblastoma
 
Medulloblastoma with extensive nodularity
 
 
 
 


Molecular classification system

  • Medulloblastoma may be classified into at least four major subtypes based on molecular classification system which include WNT subgroup, SHH subgroup, Group C and Group D medulloblastoma.[1][3]


 
 
 
 
 
Genomic classification system
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
WNT subgroup
 
Sonic hedgehog (SHH) subgroup
 
Group 3 medulloblastoma
 
Group 4 medulloblastoma
 
 
 
 

References

  1. 1.0 1.1 Northcott PA, Shih DJ, Peacock J, Garzia L, Morrissy AS, Zichner T; et al. (2012). "Subgroup-specific structural variation across 1,000 medulloblastoma genomes". Nature. 488 (7409): 49–56. doi:10.1038/nature11327. PMC 3683624. PMID 22832581.
  2. 2.0 2.1 Louis DN, Ohgaki H, Wiestler OD, Cavenee WK, Burger PC, Jouvet A; et al. (2007). "The 2007 WHO classification of tumours of the central nervous system". Acta Neuropathol. 114 (2): 97–109. doi:10.1007/s00401-007-0243-4. PMC 1929165. PMID 17618441.
  3. 3.0 3.1 Leary SE, Olson JM (2012) The molecular classification of medulloblastoma: driving the next generation clinical trials. Curr Opin Pediatr 24 (1):33-9. DOI:10.1097/MOP.0b013e32834ec106 PMID: 22189395
  4. 4.0 4.1 Medulloblastoma. Librepathology(2015) http://librepathology.org/wiki/index.php/Medulloblastoma Accessed on September, 28th 2015
  5. 5.0 5.1 Medulloblastoma. radiopaedia(2015) http://radiopaedia.org/articles/medulloblastoma Accessed on September, 28th 2015