Giant Mucinous Ovarian Cystadenomas in Postmenopausal Women

Mucinous cystadenomas may enlarge progressively into substantial masses and frequently remain clinically silent until they attain giant proportions, often being incidentally identified during routine physical examinations or imaging studies. In postmenopausal women or in cases with suspected malignancy, total hysterectomy with bilateral salpingo-oophorectomy constitutes the preferred surgical approach. The management of massive ovarian tumors is associated with considerable risks, including profound hypotension, increased venous return, cardiac decompensation, respiratory compromise, and intestinal distention. Postoperative complications frequently result from abrupt hemodynamic alterations, notably the development of pulmonary edema. The management of these high-risk cases necessitates a multidisciplinary strategy, with rigorous intraoperative and postoperative surveillance to prevent adverse outcomes.