Rutkowski et al reported a grading system for reporting the consistency of a pituitary adenoma. The authors are from the University of Southern California in Los Angeles.
Patient selection: pituitary adenoma
Consistency
Removal
Other Features
Grade
cystic or hemorrhagic
1
soft
freely suckable, minimal curettage
2
average
partially suckable; requires some curettage or mechanical debulking
tumor readily descents from suprasellar space
3
firm
not suckable; curettage of mechanical debulking required
tumor does not readily descend from suprasellar space; extracapsular technique typically required
4
extremely firm or calcified
not suckable; not curettable
requires sharp or en bloc removal
5
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