Acoustic Neuroma: Classification

Tumor classification according to Wigand

Stage Tumor size
A Limited to the internal auditory canal and tumor size (mean diameter) of 1-8 mm
B Extension to the cerebellopontine angle and tumor size of 9-25 mm.
C Contact with the brainstem and tumor size > 25 mm.

Tumor classes according to Samii

Tumor class Description
T1 Purely intrameatal tumor (in the bony ear canal)
T2 Intra- and extrameatal tumor portion (inside and outside the bony auditory canal)
T3a Tumor fills cerebello-pontine cistern (between cerebellum and brainstem)
T3b Tumor reaches the brain stem
T4 Tumor compresses the brainstem
T4b Tumor compresses the brainstem and displaces the fourth ventricle (cerebral ventricle)