The presence of omental cakes have long been seen as an indication of poor prognosis in patients with advanced-stage ovarian or gastrointestinal cancer, and medical teams usually address this through more advanced and aggressive treatments such as cytoreductive surgery and hyperthermic-intraperitoneal chemotherapy (HIPEC). During surgery, the presence of omental caking makes incomplete resection more likely. In patients where omental spread is completely removed, intestinal resections are more likely to be encountered due to the caked omentum's propensity for spreading malignancy to adjacent organs. If malignant, as patients undergo treatment they are likely to undergo routine nuclear medicine imaging as surveillance for response to the treatment or recurrence of disease.
