The management of gallbladder polypoid lesions
10.3760/cma.j.issn.1007-8118.2012.10.002
- VernacularTitle:胆囊息肉样病变的处理
- Author:
Xingwu YANG
;
Tao LIN
;
Chunming YANG
- Publication Type:Journal Article
- Keywords:
Gallbladder;
Polyps;
Gallbladder neoplasms
- From:
Chinese Journal of Hepatobiliary Surgery
2012;18(10):733-735
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo discuss the diagnosis method and management of Gallbladder polypoeid lesions (GPL).MethodA ten-year (2002-2011) retrospective reviews of all patients result underwent in ultrosenography (US) was conducted.ResultsTotal 591 peatients with GPL detected on US were identified,349 patients (59.1％) were women,the age ranges 20 to 93 years.395 patients had abdominal symtoms,of which 39.9％ patients had a single polyp and 9.8％ had gallstones.The specifisity of the diagnosis of GPL in US was 92.5 ％.Laparascopic cholecystectomy (LC) is the treatment of 136 chosen cases.In cases suspicious of malignancy,it is advisable to do cholecystectomy.ConclusionsMost small GPL are benign and remain static for years.Age more than 50 years old and size of polyp more than 10 mm are the two main important risk factors predicting malignancy in GPL.Other risk factors include concurrent gallstones,solitary polyp,and symptomatic polyp.LC is the treatment of unless since the suspicion of malignancy is high.
