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Table 2 Tumor criteria based on radiological findings Radiological tumor extension and classification Types of sphenoid sinus based on CT paranasal sinuses

From: Giant invasive pituitary adenomas: surgical approach selection paradigm and its influence on the outcome—case series

Radiological tumor criteria

No. (%)

Tumor diameter

4–7.2 cm (mean ± SD 5.1 cm ± 0.5)

Shape of tumors

 

 Rounded

8 (25.8%)

 Multilobar

12 (38.7%)

 Dumbell

11 (35.5%)

Tumor extension

 

Modified Hardy classification

 

 Grade III

8 (25.8%)

 Grade IV

19 (61.3%)

 Grade V

4 (12.9%)

Cavernous sinus invasion Knosp grading

 

 Grade 1

2 (6.4%)

 Grade 2

7 (22.6%)

 Grade 3A

6 (19.4%)

 Grade 3B

3 (9.7%)

 Grade 4

13 (41.9%)

Types of sphenoid sinus

 

Non pneumatized

6 (19.4%)

 Conchal type

3 (9.7%)

 Presellar type

3 (9.7%)

Pneumatized

25 (80.6%)