Publication Name	World Journal of Clinical Cases
Manuscript ID	116737
Country	Japan

Category	Obstetrics & Gynecology
Manuscript Type	Case Report
Article Title	Successful perioperative management for a giant ovarian tumor in older adults: A case report
Manuscript Source	Unsolicited Manuscript
All Author List	Arimi Segawa, Toshiyuki Kakinuma, Chinatsu Miyazawa, Jun Takeuchi, Midori Tamura, Akari Morita, Seido Takae, Nao Suzuki and Yasushi Ariizumi
Funding Agency and Grant Number
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 241-0811, Kanagawa, Japan. tokakinuma@gmail.com
Key Words	Giant ovarian tumor; Aron alpha method; Estimation of physiologic ability and surgical stress; Frailty; Clinical frailty scale; Enhanced recovery after surgery; Older patients; Laparoscopy; Case report
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.
Citation	Segawa A, Kakinuma T, Miyazawa C, Takeuchi J, Tamura M, Morita A, Takae S, Suzuki N, Ariizumi Y. Successful perioperative management for a giant ovarian tumor in older adults: A case report. World J Clin Cases 2026; In press

Received	2025-11-20 05:51
Peer-Review Started	2025-11-20 05:52
First Decision by Editorial Office Director	2025-12-03 10:17
Return for Revision	2025-12-03 10:17
Revised	2025-12-19 11:21
Publication Fee Transferred	2025-12-22 08:19
Second Decision by Editor	2026-01-21 02:38
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-01-21 04:22
Articles in Press	2026-01-21 04:22
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2307-8960 (online)
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