TABLE 2.

Classification of Astrocytomas

Kernohan (1940)Mayo/St. Anne (1981/1988)WHO grade (1979/1993)WHO designationHistopathology
Grade 1ExcludedIPilocytic astrocytomaBipolar, piloid cells, Rosenthal fibers, eosinophilic granular bodies
Grade 1Grades 1 and 2IILow-grade astrocytomaNeoplastic fibrillary or gemistocytic astrocytes; nuclear atypia
Grade 2Grade 3IIIAnaplastic astrocytomaNeoplastic fibrillary or gemistocytic astrocytes; nuclear atypia mitotic activity
Grade 3 Grade 4Grade 4IVGlioblastoma multiformeCellular anaplasia, nuclear atypia, mitoses, vascular proliferation, necrosis
  • Table modified from Kleihues (3) and Tatter (6).