Gross total resection
see also Near total resection
No residual enhancement on immediate postoperative MRI.
GTR is associated with better QoL using the general QoL measures SF-36 and PROMIS-10 and the disease-specific PANQOL, even after controlling for baseline and outcome differences. This is especially significant in the assessment of mental health, indicating there may indeed be a psychological advantage to the patient that translates to overall well-being to have the entire tumor removed if microsurgical resection is undertaken 1).
Gross total resection (GTR) in glioblastoma (GB) and anaplastic astrocytoma (AA) patients is associated with improved survival.
1)
Link MJ, Lund-Johansen M, Lohse CM, Driscoll CLW, Myrseth E, Tveiten OV,
Carlson ML. Quality of Life in Patients with Vestibular Schwannomas Following
Gross Total or Less than Gross Total Microsurgical Resection: Should We be Taking
the Entire Tumor Out? Neurosurgery. 2018 Apr 1;82(4):541-547. doi:
10.1093/neuros/nyx245. PubMed PMID: 29554375.