Considerations on indications for surgery in patients with polypoid lesion of the gallbladder

Di Yi Jun Yi Da Xue Xue Bao. 2002 Oct;22(10):951-2.

Abstract

Objective: To study the clinical and pathological features of the polypoid lesion of the gallbladder (PLG) for making decisions for surgical treatment.

Methods: The clinical, pathological and imaging data of 244 cases of PLG were retrospectively analyzed.

Results: There were 235 benign polyps (96.31%) and 9 malignant polyps (3.69%) in all these cases, and most of the malignant polyps had a diameter greater than 1.0 cm, which often appeared as a single lesion in the cases.

Conclusion: Surgical removal is indicated when the polyp appears as a single lesion with a diameter over 1.0 cm in patients older than 50 years, who may also have complications such as cholecysolithiasis or are exposed to other high-risk factors.

MeSH terms

  • Adult
  • Aged
  • Female
  • Gallbladder / pathology*
  • Gallbladder Neoplasms / classification
  • Gallbladder Neoplasms / pathology*
  • Gallbladder Neoplasms / physiopathology
  • Gallbladder Neoplasms / surgery
  • Humans
  • Male
  • Middle Aged
  • Retrospective Studies