%0 Journal Article %T Laparoscopic Surgery for a 91-year-old Woman with a Huge Solid Adult Granulosa Cell Tumor: A Case Report %A Adachi %A Akiko %A Aska %A Atsuko %A Eriko %A Funada %A Horai %A Junko %A Kazusige %A Megumi %A Noriko %A Otake %A Rina %A Sato %A Suzuki %A Tanaka %A Toda %A Usui %A Yamamoto %A Yoshimitsu %J - %D 2019 %R 10.18314/cogo.v2i1.1512 %X Adult granulosa cell tumors are rare ovarian malignancies. They are usually stage I tumors and have a relatively good prognosis. Surgery is the mainstay of primary therapy. Recent studies showed that a minimally invasive laparoscopic approach is an option for selected patients with adult granulosa cell tumors. We report the case of a 91-year-old woman with an 18 cm solid adult granulosa cell tumor treated with laparoscopic surgery. The patient complained of pelvic discomfort and was found to have a solid ovarian tumor. The tumor was expected to be an early-stage sex cord-stromal tumor such as a granulosa cell tumor or thecoma because of the pelvic magnetic resonance imaging findings and abnormal hormonal blood test results. She underwent laparoscopic bilateral salpingo-oophorectomy. We successfully performed laparoscopic surgery in an elderly woman with an 18-cm solid adult granulosa cell tumor without scattering and spillage of the tumor, using a Vagi-Bag. She had no perioperative complications and recovery was rapid. She was doing well and disease-free at 8 months of follow-up %U https://www.gratisoa.org/journals/index.php/COGO/article/view/1512