gross total resection
Also written as: GTR — gross total resection
Complete surgical removal of all visible tumor tissue, distinguished from subtotal resection in surgical reports.
Full Definition
Gross total resection (GTR) refers to the complete surgical removal of all macroscopically visible tumor tissue during neurosurgical procedures. This is distinguished from subtotal resection, where some visible tumor remains, and from molecular-level complete resection, where microscopic tumor cells may persist. In neurosurgical oncology documentation, the extent of resection is a critical prognostic factor and must be accurately documented. GTR is associated with improved survival outcomes in many brain tumor types.
Usage
Usage note: Specify percentage when resection is incomplete; use GTR only after first use in formal reports.
In Context
- "Gross total resection was achieved with negative margins confirmed by intraoperative pathology." — Surgical summary
- "The patient underwent gross total resection of the left parietal meningioma." — Discharge summary