Acta clinica Croatica, Vol. 40 No. 1, 2001.
Case report
Management of Gallbladder Polyps: An Optimal Strategy Proposed
Neven Ljubičić
Mario Zovak
Marko Doko
Milan Vrkljan
Lana Videc
Abstract
Polypoid lesions of the gallbladder can be divided into benign and malignant lesions. Benign polypoid lesions of the gallbladder are divided into tumors and pseudotumors. Pseudotumors make up the majority of polypoid lesions of the gallbladder. They can occur in the form of polyps, hyperplasia or other miscellaneous lesions. Adenomas are the most common benign neoplasms of the gallbladder. Ultrasound has been demonstrated to be significantly better in detecting polypoid lesions of the gallbladder as compared with computed tomography and cholecystography. Recommendations for an optimal strategy in the management of gallbladder polyps are presented. Generally, no treatment is required in a young patient with very small gallbladder polyps, who is completely free from symptoms. In patients with unequivocal recurrent biliary colic, elective cholecystotomy is warranted, especially in case of coexistence of stones and polyps. Cholecystectomy is also indicated in patients with gallbladder polyps greater than 10 mm, irrespective of symptomatology. In patients with gallbladder polypoid lesions smaller than 10 mm, cholecystectomy is only indicated if complicating factors are present, e.g., age ³ 50 and coexistence of gallstones. If a gallbladder polyp is smaller than 10 mm and if complicating factors are absent, the “watch-and-wait” strategy seems to be recommendable.
Keywords
Polyps, diagnosis; Polyps, therapy; Gallbladder neoplasms, therapy
Hrčak ID:
14851
URI
Publication date:
1.3.2001.
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