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Positron emission tomography and computed tomography (PET/CT) have a potential role in detecting and locating recurrent ovarian cancer. Precise tumor location during surgical treatment is often difficult, owing to limited tumor sizeand po st-surgical anatomic modifications. The surgical gamma probe, which has become increasing popular in recent years with the development of sentinel node mapping , may improve tumor detection and facilitate resection of occult metastases. We describe the first case of laparoscopic resection of occult metastasis using the combination of FDG-PET/CT image fusion with intraoperativeFDG-sensitive probi ng in a patient with recurrent ovarian cancer. FDG-sensitive probe combined wit h preoperative PET/CT image fusion can help to detect occult metastasis and guid e laparoscopic excision.
Positron emission tomography and computed tomography (PET / CT) have a potential role in detecting and locating recurrent ovarian cancer. Precise tumor location during surgical treatment is often difficult, owing to limited tumor size and po st-surgical anatomic modifications. The surgical gamma probe, which has become increasing popular in recent years with the development of sentinel node mapping, may improve tumor detection and facilitate resection of occult metastases. We describe the first case of laparoscopic resection of occult metastasis using the combination of FDG-PET / CT image fusion with intraoperative FDG-sensitive probing in a patient with recurrent ovarian cancer. FDG-sensitive probe combined wit h preoperative PET / CT image fusion can help to detect occult metastasis and guid e laparoscopic excision.