The other day in session, the surgeon who believe in cleaner technology, although often engage in dirty surgery, asked me a question that until now had not found the time to respond and which, to my general knowledge and that of who might be interested in the subject, I said something about gallbladder polyps.
polypoid lesions of the gallbladder occur between 3 and 7% of healthy people. With imaging techniques are increasingly being diagnosed more. These lesions may be benign pseudotumors: adenomiomatosis cholesterol polyps and benign or malignant neoplasms, adenomas or adenocarcinomas. Cholesterol polyps are the most common injury with pedunculated appearance, are usually less than 10 mm and 30% are multiple. The adenomiomatosis appears as a sessile polyp with microcysts on ultrasound, and almost always greater than 10mm in size. Adenomas and adenocarcinomas may be sessile, pedunculated, often measuring more than 10mm and can be difficult to separate on ultrasound if there is no transmural invasion. Thus, in all patients with symptomatic lesions or any of the following risk factors for malignancy is indicated for laparoscopic cholecystectomy:
- Age over 60 years.
- Coexistence of gallstones.
- Increased size confirmed.
- larger than 10mm.
polipiodes are asymptomatic lesions can be seen, under 10mm ultrasound showing no signs of malignancy, provided that their size no increase in the ultrasound control.
And this is people who know more than I leave this post open to any comments.
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