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. 2021 Mar 21;9(3):319. doi: 10.3390/biomedicines9030319

Table 5.

Simpson grades of meningioma resection.

Extent of Resection Simpson Grade Description
Gross Total Resection
(GTR)
Grade 1 Gross total resection of tumor, dural attachment, and involved bone (extradural extension)
Grade 2 Gross total resection of tumor, coagulation of dural attachment
Grade 3 Gross total resection of tumor without resection of coagulation of dural and extradural components
Subtotal Resection
(STR)
Grade 4 Partial (subtotal) resection of tumor
-- Grade 5 Biopsy only