How to classify gallbladder polyps

  First of all, excessive worry and concern is not necessary. Gallbladder polyps are swellings that grow on the wall of the gallbladder, most of which are benign and very few are malignant. The disease should be correctly understood, and if there are conditions to try to remove, otherwise the human psychology will lead to aggravation of the disease.  Clinically, gallbladder polyps can be divided into: ① cholesterol polyps; ② adenomatous polyps; ③ inflammatory polyps; ④ adenomyoma; ⑤ mixed polyps.  Among them, adenomatous polyps are related to gallbladder cancer and are precancerous lesions with a cancer rate of 6% to 36%. This group of patients should not be taken lightly. Cholesterol polyps are not carcinogenic, while adenomyoma and inflammatory polyps are inconclusive. One study showed that 18% of gallbladder cancers come from cancerous gallbladder polyps.  Gallbladder polyps are difficult to distinguish from gallbladder stones. They mostly manifest as dyspepsia, such as right upper abdominal pain, abdominal distension, aversion to oil, etc. In case of combined infection or obstruction, there is fever, right upper abdominal pain, and jaundice in a few patients. When the single polyp is larger than 10mm, or combined with stones, or complicated with cholecystitis, and the age is over 50 years, it should be treated surgically. In addition to this, in addition to anti-inflammatory and biliary treatment, regular review should be insisted.  In summary, the comprehensive cancer rate of gallbladder polyps is still very low. If gallbladder polyps are found during physical examination or other examinations, please do not panic and just treat them early. At present, laparoscopic cholecystectomy is the “gold” standard for the radical treatment of gallbladder polyps (must be removed, no bile preservation), and generally patients can be cured.