Acoustic neuroma staging: Difference between revisions

Jump to navigation Jump to search
No edit summary
(Blanked the page)
Tag: Blanking
 
(39 intermediate revisions by 4 users not shown)
Line 1: Line 1:
__NOTOC__
{{Acoustic neuroma}}
{{CMG}}
==Overview==
Acoustic neuroma may be classified into three subtypes based on tumor size and into six subtypes based on tumor location.
==Staging==
Acoustic neuroma may be classified into three subtypes based on tumor size and into six subtypes based on tumor location.


'''WIGAND''' has defined a trinomial classification:
'''Tumour size stage A: '''The tumor is limited to the inner auditory passage and is 1-8 mm (average diameter) in size.
'''Tumour size stage B:''' The tumor has spread up to the cerebellopontine angle and is 9-25 mm in size.
'''Tumour size stage C:''' The tumor has spread to the brainstem and is bigger than 25 mm.
{| style="border: 0px; font-size: 90%; margin: 3px; width: 600px" align=center
|valign=top|
|+
! style="background: #4479BA; width: 200px;" | {{fontcolor|#FFF|Stage}}
! style="background: #4479BA; width: 400px;" | {{fontcolor|#FFF|Tumor size}}
! style="background: #4479BA; width: 400px;" | {{fontcolor|#FFF|Tumor location}}
|-
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |
:Stage A
| style="padding: 5px 5px; background: #F5F5F5;" |1-8 mm in size
| style="padding: 5px 5px; background: #F5F5F5;" |The tumor is limited to the inner auditory passage
|-
| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |
:Stage B
| style="padding: 5px 5px; background: #F5F5F5;" |9-25 mm in size
| style="padding: 5px 5px; background: #F5F5F5;" |The tumor has spread up to the cerebellopontine angle
|-
| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |
:Stage C
| style="padding: 5px 5px; background: #F5F5F5;" |Greater than 25 mm in size
| style="padding: 5px 5px; background: #F5F5F5;" |The tumor has spread to the brainstem
|-
|}
'''SAMII''' defines six tumour classes:
'''T1: '''clear intrameatal tumour (in the bony ear canal)
'''T2: '''intra and extrameatal tumour part (within and outside of the bony ear canal)
'''T3a:''' Tumour fills the cerebellopontine cistern (between the cerebellum and brainstem)
'''T3b:''' Tumour reaches the brainstem
'''T4: '''Tumour compromises the brainstem
'''T4b:''' Tumour compromises the brainstem and displaces the four ventricles (cerebral ventricle)
{| style="border: 0px; font-size: 90%; margin: 3px; width: 600px" align=center
|valign=top|
|+
! style="background: #4479BA; width: 200px;" | {{fontcolor|#FFF|Stage}}
! style="background: #4479BA; width: 400px;" | {{fontcolor|#FFF|Tumor location}}
|-
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |
:T1
| style="padding: 5px 5px; background: #F5F5F5;" |Clear intrameatal tumour (in the bony ear canal)
|-
| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |
:T2
| style="padding: 5px 5px; background: #F5F5F5;" |Intra and extrameatal tumour part (within and outside of the bony ear canal)
|-
| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |
:T3a
| style="padding: 5px 5px; background: #F5F5F5;" |Tumor fills the cerebellopontine cistern (between the cerebellum and brainstem)
|-
| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |
:T3b
| style="padding: 5px 5px; background: #F5F5F5;" |Tumor reaches the brainstem
|-
| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |
:T4a
| style="padding: 5px 5px; background: #F5F5F5;" |Tumor compromises the brainstem
|-
| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |
:T4b
| style="padding: 5px 5px; background: #F5F5F5;" |Tumor compromises the brainstem and displaces the four ventricles (cerebral ventricle)
|-
|}

Latest revision as of 03:00, 18 January 2019