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©The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Feb 6, 2026; 14(4): 116737
Published online Feb 6, 2026. doi: 10.12998/wjcc.v14.i4.116737
Published online Feb 6, 2026. doi: 10.12998/wjcc.v14.i4.116737
Successful perioperative management for a giant ovarian tumor in older adults: A case report
Arimi Segawa, Toshiyuki Kakinuma, Chinatsu Miyazawa, Jun Takeuchi, Midori Tamura, Akari Morita, Seido Takae, Nao Suzuki, Department of Obstetrics and Gynecology, Saint Marianna University School of Medicine, Yokohama City Seibu Hospital, Yokohama, Kanagawa 241-0811, Japan
Yasushi Ariizumi, Department of Diagnostic Pathology, Saint Marianna University School of Medicine, Yokohama City Seibu Hospital, Yokohama, Kanagawa 241-0811, Japan
Author contributions: Segawa A, Kakinuma T, Miyazawa C, Takeuchi J, Tamura M, Morita A, Takae S, Suzuki N, and Ariizumi Y contributed to data analysis; Segawa A and Kakinuma T contributed to manuscript writing and editing; Kakinuma T contributed to conceptualization and supervision; all authors have read and approved the final manuscript.
Informed consent statement: Both written and verbal informed consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Toshiyuki Kakinuma, MD, PhD, Professor, Department of Obstetrics and Gynecology, St. Marianna University School of Medicine, Yokohama City Seibu Hospital, 1197-1 Yasashicho, Asahi-ku, Yokohama, Kanagawa 241-0811, Japan.
Received: November 20, 2025
Revised: December 19, 2025
Accepted: January 21, 2026
Published online: February 6, 2026
Processing time: 77 Days and 18.9 Hours
Revised: December 19, 2025
Accepted: January 21, 2026
Published online: February 6, 2026
Processing time: 77 Days and 18.9 Hours
Core Tip
Core Tip: When planning surgical treatment for elderly patients, their overall health and postoperative risks must be appropriately assessed using the estimation of physiologic ability and surgical stress scoring system and the FRAIL scale. Accordingly, the treatment plan and perioperative management may be implemented using the enhanced recovery after surgery protocol. Furthermore, the Aron alpha method for giant ovarian tumors enables minimal invasive surgery without leaking the ovarian tumor contents into the abdominal cavity. This surgical technique helps elderly patients with giant ovarian tumors of uncertain malignancy.