• Users Online: 211
  • Print this page
  • Email this page
ORIGINAL ARTICLE
Year : 2022  |  Volume : 3  |  Issue : 2  |  Page : 130-133

Gallbladder polyps: Is a cancer phobia justified?


1 Department of Surgical Gastroenterology, Amrita Institute of Medical Sciences, Kochi, Kerala, India
2 Department of General Surgery, Amrita Institute of Medical Sciences, Kochi, Kerala, India

Correspondence Address:
Dr. Aaditya Bhatwal
Bhatwal Surgical & Maternity Hospital, 111/A, Agrawal Nagar, Dhule - 424 001, Maharashtra
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JME.JME_95_21

Rights and Permissions

Background: With better imaging technologies, the frequency of detecting GB polyps has increased, however, their effective management remains a clinical dilemma. Aims: This study was aimed to assess the true outcome of lesions suspected or diagnosed as gallbladder (GB) 'polyp' on ultrasound. Patients and Methods: Computerised hospital-based medical records between June 2008 and June 2014 at a medical sciences institute in Kerala were accessed to identify and review the follow-up of all cases identified as GB polyp on ultrasound. Results: Ultrasound examination was performed in 108 cases. Of these 46% had symptoms suggestive of gall bladder disease, 20% had nonspecific abdominal symptoms and for the remaining 34% it was part of routine health check-up. The mean polyp size was 4.7 mm. During follow-up, 20 (18.5%) patients underwent cholecystectomy and none of them came as true polyps on histopathology, 25 (23%) patients were lost to follow-up after primary ultrasonography and 10 (9.25%) patients died due to reasons unrelated to GB disease. Conclusion: Radiologists tend to over diagnose GB polyps due to the risk of malignant transformation of GB polyps and increased usage of imaging modalities. It is observed in this study that higher imaging modalities do not add significant specificity in the diagnosis of the true polyp. However, there is a need for a large cohort study to confirm the outcome.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed252    
    Printed8    
    Emailed0    
    PDF Downloaded38    
    Comments [Add]    

Recommend this journal