Gallbldder polyp:

Gallbladder polyp Gallbladder polyps are growths or lesions resembling growths (polypoid lesions) in the wall of the gallbladder. Polypoid lesions of the gallbladder affect approximately 5% of the adult population. The causes are uncertain, but there is a definite correlation with increasing age and the presence of gallstones (cholelithiasis). Most affected individuals do not have symptoms. The gallbladder polyps are detected during abdominal ultrasonography performed for other reasons.

The incidence of gallbladder polyps is higher among men than women .The main types of polypoid growths of the gallbladder include cholesterol polyp/cholesterosis, cholesterosis with fibrous dysplasia of gallbladder, adenomyomatosis and hyperplastic cholecystosis,

Gall bladder polyp ( Ultrasound )

polyps occur with other conditions, such as primary sclerosing cholangitis, they are less likely to be benign. Larger polyps( >1cm) are more likely to develop into gallbladder cancer. Polyps larger than 18 mm in diameter may pose a significant risk of being malignant

Treatment :

months interval. If size of the polyp(s) is increasing then Cholecystectomy (Laparoscopic or open ) to be done.

Polyps larger than 1 cm with co-occurring gallstones especially if the polyps are several, occurring in people over the age of 50, needs removal of gall bladder (cholecystectomy).If there is doubt about malignancy, histopathological examination of the polyp(s) ( frozen section) to be done during surgery.If benign, then simple cholecystectomy, if malignant, then liver resection (Bisegmentectoy ) en mass with gall bladder to be done .

 

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