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.
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