Management of Incidentally Detected Gallbladder Polyps: Society of Radiologists in Ultrasound Consensus Conference Recommendations

Aya Kamaya; Christopher Fung; Jean-Luc Szpakowski; David T Fetzer; Andrew J Walsh; Yewande Alimi; David B Bingham; Michael T Corwin; Nirvikar Dahiya; Helena Gabriel; Walter G Park; Matthew R Porembka; Shuchi K Rodgers; Mitchell E Tublin; Xin Yuan; Yang Zhang; William D Middleton

doi:10.1148/radiol.213079

Management of Incidentally Detected Gallbladder Polyps: Society of Radiologists in Ultrasound Consensus Conference Recommendations

Radiology. 2022 Nov;305(2):277-289. doi: 10.1148/radiol.213079. Epub 2022 Jul 5.

Authors

Aya Kamaya¹, Christopher Fung¹, Jean-Luc Szpakowski¹, David T Fetzer¹, Andrew J Walsh¹, Yewande Alimi¹, David B Bingham¹, Michael T Corwin¹, Nirvikar Dahiya¹, Helena Gabriel¹, Walter G Park¹, Matthew R Porembka¹, Shuchi K Rodgers¹, Mitchell E Tublin¹, Xin Yuan¹, Yang Zhang¹, William D Middleton¹

Affiliation

¹ From the Departments of Radiology (A.K.), Pathology (D.B.B.), Medicine (W.G.P.), and Ultrasound (X.Y.), Stanford University School of Medicine, Stanford Hospital and Clinics, 300 Pasteur Dr, H1307, Stanford, CA 94305; Department of Radiology, University of Alberta Hospital, Edmonton, Alberta, Canada (C.F., A.J.W.); Department of Gastroenterology, Kaiser Permanente Northern California, Oakland, Calif (J.L.S.); Departments of Radiology (D.T.F.) and Surgical Oncology (M.R.P.), University of Texas Southwestern Medical Center, Dallas, Tex; Department of Surgery, MedStar Georgetown University Hospital, Washington, DC (Y.A.); Department of Radiology, University of California Davis Medical Center, Sacramento, Calif (M.T.C.); Department of Radiology, Mayo Clinic Scottsdale, Phoenix, Ariz (N.D.); Department of Radiology, Northwestern University Feinberg School of Medicine, Chicago, Ill (H.G.); Department of Radiology, Sidney Kimmel Medical College, Thomas Jefferson University, Cherry Hill, NJ (S.K.R.); Department of Radiology, University of Pittsburgh School of Medicine, Pittsburgh, Pa (M.E.T.); Joint Pathology Center, Silver Spring, Md (Y.Z.); and Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, Mo (W.D.M.).

PMID: 35787200
DOI: 10.1148/radiol.213079

Abstract

Gallbladder polyps (also known as polypoid lesions of the gallbladder) are a common incidental finding. The vast majority of gallbladder polyps smaller than 10 mm are not true neoplastic polyps but are benign cholesterol polyps with no inherent risk of malignancy. In addition, recent studies have shown that the overall risk of gallbladder cancer is not increased in patients with small gallbladder polyps, calling into question the rationale for frequent and prolonged follow-up of these common lesions. In 2021, a Society of Radiologists in Ultrasound, or SRU, consensus conference was convened to provide recommendations for the management of incidentally detected gallbladder polyps at US. See also the editorial by Sidhu and Rafailidis in this issue.

Publication types

Review

MeSH terms

Gallbladder Diseases* / diagnostic imaging
Gallbladder Neoplasms* / diagnostic imaging
Gallbladder Neoplasms* / pathology
Gastrointestinal Neoplasms*
Humans
Polyps* / diagnostic imaging
Polyps* / pathology
Radiologists