Longmire classification was published in 1973. It divides extrahepatic biliary system into three sections with respect to spread, surgical approach and symptoms caused by primary tumours.
Upper third | right and left hepatic duct, bifurcation, common hepatic duct |
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Middle third | common bile duct from the cystic duct to pancreas |
Lower third | intrapancreatic part of the common bile duct |
The WHO grading system is currently most widely used for grading of astrocytomas. The last revision was published in 2007. It has four cathegories.
Grade | Description | Types |
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Grade I | slow growing, benign, localised | pilocytic astrocytoma, xanthoastrocytoma, subependymal giant cell astrocytoma, subependymoma |
Grade II | low grade, infiltrative, slow-growing | low-grade (fibrillary) astrocytoma, mixed oligoastrocytoma |
The Kernohan grading system was fist described in 1949 and is no longer used. It was replaced by the WHO grading system.
Grade | Description |
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Grade 1 | benign astrocytoma |
Grade 2 | low-grade astrocytoma |
Grade 3 | anaplastic astrocytoma |
Grade 4 | glioblastoma |