[Giant ovarian tumor--case report and proposal for clinical management]

Area of Science:

• Gynecology
• Surgical Oncology
• Abdominal Surgery

Background:

• Massive ovarian tumors present significant surgical challenges.
• Management requires careful preoperative and postoperative care, including nutritional support.

Observation:

• A case report details the surgical management of a 90 kg ovarian tumor.
• Preoperative paracentesis and intravenous alimentation were utilized.
• Intraoperative techniques included abdominal cavity packing with slow pressure decrease.

Findings:

• Successful excision of the 90 kg ovarian tumor was achieved.
• Postoperative recovery was uneventful with continued intravenous and oral alimentation.
• The patient was discharged on the 10th postoperative day in good condition.

Implications:

• This case highlights the feasibility of surgical intervention for extremely large ovarian tumors.
• Effective nutritional management is crucial for successful outcomes in complex abdominal surgeries.
• Demonstrates a successful approach to managing massive ovarian neoplasms.