Barranger Emmanuel, Kerrou Khaldoun, Petegnief Yolande, David-Montefiore Emmanuel, Cortez Annie, Daraï Emile
Department of Gynecology and Obstetrics, Hôpital Tenon, 4 rue de la Chine, 75020, Paris, France.
Gynecol Oncol. 2005 Jan;96(1):241-4. doi: 10.1016/j.ygyno.2004.09.030.
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 post-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 with preoperative PET/CT image fusion can help to detect occult metastasis and guide laparoscopic excision.
正电子发射断层扫描和计算机断层扫描（PET/CT）在复发性卵巢癌的检测和定位方面具有潜在作用。由于肿瘤尺寸有限以及手术引起的解剖结构改变，手术治疗期间精确的肿瘤定位往往很困难。近年来，随着前哨淋巴结定位技术的发展，手术用γ探测器越来越受欢迎，它可能会改善肿瘤检测并有助于切除隐匿性转移灶。
我们描述了首例复发性卵巢癌患者采用FDG-PET/CT图像融合与术中FDG敏感探测相结合的方法进行腹腔镜隐匿性转移灶切除术的病例。
FDG敏感探测器与术前PET/CT图像融合相结合有助于检测隐匿性转移灶并指导腹腔镜切除。
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