====== High-grade glioma classification ====== ^ Grade ^ Tumor Types ^ Key Features ^ | **Grade 3** | - Anaplastic astrocytoma \\ - Anaplastic oligodendroglioma | - High cellularity \\ - Mitotic activity \\ - No necrosis | | **Grade 4** | - [[Glioblastoma]] (GBM) \\ - Diffuse midline glioma, H3 K27-altered | - Necrosis \\ - Microvascular proliferation \\ - Often IDH-wildtype \\ - Very poor prognosis | ● [[Astrocytoma IDH-mutant Grade 3]] ● [[Astrocytoma IDH-mutant Grade 4]] Anaplastic astrocytoma with mutations in the IDH gene. [[Anaplastic oligodendroglioma, IDH-mutant & 1p/19q-codeleted]] [[Diffuse midline glioma H3 K27-altered]] ---- see also [[Glioma classification]] The term malignant or [[High-grade glioma]] refers to [[tumor]]s that are classified as: ●[[WHO Grade 3 glioma]]: [[Anaplastic astrocytoma]], [[anaplastic oligodendroglioma]], [[anaplastic oligoastrocytoma]], [[anaplastic ependymoma]] ● [[WHO Grade 4 glioma]] ---- [[Pediatric High-grade glioma]]. [[Brainstem High-grade glioma]]. [[Cystic High-grade glioma]]. [[Pediatric High-grade glioma]]. [[Recurrent High-grade glioma]]. [[Temporal lobe high-grade glioma]]. [[Thalamic High-grade glioma]]. [[Ventricular High-grade glioma]].