Gross total resection [Neurosurgery Wiki]

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====== 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
((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.
)).

Gross [[total resection]] (GTR) in [[glioblastoma]] (GB) and [[anaplastic astrocytoma]] (AA) patients is associated with improved [[survival]].