No involvement of the cavernous sinus (normal condition)
Grade 1
The tumor pushes into the medial wall of the cavernous sinus, but does not go beyond a hypothetical line extending between the centers of the two segments of the internal carotid artery (noninvasive PA)
Grade 2
The tumor goes beyond hypothetical line, but without passing a line tangent to the lateral margins of the artery itself (noninvasive PA)
Grade 3
The tumor extends laterally to the internal carotid artery within the cavernous sinus (invasive PA)
Grade 4
Total encasement of the intracavernous carotid artery (invasive PA)