[Diagnosis and treatment of polypoid lesion of the gallbladder].
OBJECTIVE
To discuss the principles of diagnosis and treatment of the polypoid lesion of gallbladder.


METHODS
Clinical and pathological features of 342 cases were analysed.


RESULTS
Totally 328 patients with benign polypoid lesions (including 234 cholesterol polyps, and 74 adenomas), and 14 patients with malignant polypoid lesions (including 10 adenocarcinomas and 4 adenomas with malignant changes) were included. Two hundred and forty-seven cases (72.2%) had symptoms. Seventy-eight point six percent of patients with malignant polyps were over 50 years of age, and while 29.9 percent of patients with non-malignant polyps were over 50 years. The lesions were more than 1 cm in 91.7% of the malignant polyps and in only 13.2% of the benign polyps. One hundred percent of malignant polyps, and 46 percent of benign polyps were single polyp.


CONCLUSIONS
Cholesterol polyps, adenomas, and adenocarcinomas are the most common lesions in polypoid lesion of the gallbladder. Cholecystectomy should be done in patients with symptoms. The risk factors for malignancy are the age of the patient (> 50), the size (> 1 cm), and number (single) of the polypoid lesions. In asymptomatic patients, cholecystectomy can be justified after integrated analysis.
Li
Xiao-yi
XY
Department of General Surgery, PUMC Hospital, CAMS and PUMC, Beijing 100730, China. li.xiaoyi@263.net
Zheng
Chao-ji
CJ
Chen
Jie
J
Zhang
Jian-xi
JX
D000230:Adenocarcinoma / Q000000981:diagnostic imaging / Q000601:surgery; D018256:Adenomatous Polyps / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017081:Cholecystectomy, Laparoscopic; D002769:Cholelithiasis / Q000000981:diagnostic imaging / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D005705:Gallbladder Diseases / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D005706:Gallbladder Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011127:Polyps / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D012189:Retrospective Studies; D014463:Ultrasonography