Ultrasonographically detected gallbladder polyps: A reason for concern? A seven-year follow-up study

Abstract

Background: The management of coincidental detected gallbladder polyps (GP) is still nebulous. There are few published data regarding their long-term growth. Objective of the present study was to investigate the prevalence and growth of gallbladder polyps in a survey of unselected subjects from the general population of a complete rural community.

Polypoid Lesions of the Gallbladder: Disease Spectrum with Pathologic Correlation

“…According to the management algorithm, which was determined by a review of the literature, management of gallbladder polyps primarily relies on the size of the lesion (Fig 12) (1, 3,17,44,60,[62][63][64][65][66][67][68][69][70][71]. Two large series confirmed that a size larger than 10 mm is the best indicator of malignancy and warrants cholecystectomy (60,61).…”

Gallbladder Lesions Identified on Ultrasound. Lessons from the Last 10 Years

“…In this patient, the polyp, which grew from 6 to 17 mm over 4 years, was found to contain a carcinoma in situ. Kratzer et al, 5 who followed 34 patients (median polyp size, 5 mm) with sequential ultrasounds at 30 and 84 months, observed few changes in size, with no patient developing a cancer. Csendes et al 18 followed 111 patients with GBPs <10 mm for a mean period of 71 months: no patient developed symptoms, 23% of polyps diminished in size or disappeared, and none progressed to malignancy.…”

SAGES guidelines for the clinical application of laparoscopic biliary tract surgery

“…Polyploid lesions of the gallbladder, which can be found in about 1-5% of adults on ultrasound in Western populations [152,153] and 9.6% in Asian populations [154], are defined as elevations of the gallbladder mucosa. Polyploid lesions of the gallbladder can be true polyps which demonstrate neoplastic changes and may be benign, dysplastic or malignant, or can be pseudopolyps such as cholesterol polyps, inflammatory polyps, or adenomyoma, which are all benign [152,155].…”