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. 2022 Nov 10;2(1):R153–R162. doi: 10.1530/EO-22-0080

Table 2.

Fisch classification for GJs.

Class Paraganglioma location
A Tumor arises on promontory
B Tumor with invasion of hypotympanon; cortical bone over jugular bulb intact
C Tumor with invasion beyond typanomastoid cavity with destruction of infralabyrinthine and apical temporal bone
 C1 Tumor with erosion of carotid foramen
 C2 Tumor with destruction of carotid canal
 C3 Tumor with invasion of the horizontal part of carotid canal; foramen lacerum intact
 C4 Tumor with invasion of foramen lacerum and cavernous sinus
D Tumor invades intracranially
 D1 Tumor with intracranial but extradural extension
 D2 Tumor with intracranial and intradural extension