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2007 WHO Grading Scheme for Meningiomas*

 WHO grade

Histological Subtype

Histological Features

I

meningothelial, fibroblastic, transitional, angiomatous, microcystic, secretory, lymphoplasmacytic metaplastic, psammomatous

does not fulfill criteria for Grade II or III

II (atypical)

chordoid, clear cell

4 or more mitotic cells per 10 hpf and/or 3 or more of the following: increased cellularity, small cells, necrosis, prominent nucleoli, sheeting, &/or brain invasion in an otherwise Grade I tumor

III (anaplastic)

papillary, rhabdoid

20 or more mitoses per 10 hpf and/or obviously malignant cytological characteristics such that tumor cell resembles carcinoma, sarcoma, or melanoma

*From Perry A, et al : Meningiomas, in Louis DN, Ohgaki H, Wiestler OD, Cavenee
WK, Burger PC, Jouvet A, et al. (eds): World Health Organization Classification
of Tumours of the Central Nervous System, ed 4.
Lyon: IARC, 2007, pp 164–172.

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