Gallbladder Polyps, Surgical Indications According to their Size and Morphology

Carrillo, N; Central, Miguel Perez

doi:10.15406/ghoa.2015.02.00035

Cited by 1 publication

(1 citation statement)

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“…Epidemiological studies report an ultrasound prevalence of polypoid lesions between 4.0% and 5.6% (2,6) . On the other hand, its incidence in cholecystectomies reaches up to 13.8% in different international series (7,8) . The importance of an accurate diagnosis is related to the possibility of developing a malignancy from an adenoma (11,13) .…”

Section: Introductionmentioning

confidence: 99%

A correlation between sonographic and histopathological findings of gallbladder polyps

Noori¹,

Hasin²

2020

ATMPH

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Gallbladder polyps have become a common ultrasonographic finding. The management of these polyps is complex since they can carry malignant lesions. Our study had aimed to analyze the results of ultrasound and pathological findings of patients operated upon due to polyps in the gallbladder. The study includes patients with ultrasound diagnosis of gallbladder polyps who underwent cholecystectomy in 2017-2019 were reviewed, and demographic, sonographic and histopathological data were collected. Sixty-eight patients were involved in the study. The median age was 42 ± 7 years, and 63.2% of our patients were women. The average size of the ultrasound polyps was 6.8 ± 4 mm. Histopathology confirmed the presence of polyps in 95.6% of patients, with an average size and number of lesions of 7.5 ± 5.8 mm and 1.7 ± 1.2, respectively. Eight polyps were larger than 10 mm, and the individual polyps were significantly larger than the multiple ones (p = 0. 004). Three cases of adenoma were diagnosed (4.6%); one of them was cancer in situ. All were single and over 10 mm. We found an important correlation between determining the size of an ultrasound polyp and the pathological anatomy (r = 0.93; p = 0.002). The tumor size was an indication of the presence of adenoma (p = 0.009, (95% CI = 1,113-1,678). We have concluded that there is a clear correlation between the size of the gallbladder tumor on ultrasound and the size in the pathological report. Gallbladder adenoma is uncommon and it correlates with the size of the polyp. In this study, the size was the only indicator of the presence of adenoma.

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