A small number of gallbladder polyps must be cut gallbladder to prevent cancer

  Gallbladder polyps are small fleshy growths in the lumen of the gallbladder and are medically referred to as gallbladder polyp-like lesions. Due to changes in diet and improved imaging techniques, the incidence of gallbladder polyps and the detection rate of ultrasound in physical examinations are increasing. The smallest polyps are only about 1 mm and the largest ones can reach 3-4 cm, which can be clearly seen on ultrasound.  Compared with other painful symptoms of gallbladder and bile duct diseases, patients with gallstones have the most severe pain, followed by those with intrahepatic bile duct stones, while those with gallbladder polyps have no symptoms, or just vague pain in the right upper abdomen, radiating to the back from time to time. In some cases, the symptoms are more typical, and the painful symptoms are aggravated after eating fatty foods, but they are easily ignored. Because of this, gallbladder polyps are mostly detected during ultrasound for health checkups, which is called “modern imaging disease”.  In the most serious cases, gallbladder polyps can also affect some of the surrounding organs, and if combined with cholelithiasis, cholecystitis, often appear cholecystitis symptoms, biliary colic occurs. Sometimes it also spreads to the pancreas and shows pain to the left side of the middle and back, which is more serious.  Cholesterol polyps are not harmful Gallbladder polyps are divided into non-tumor polyps and tumor polyps, non-tumor polyps are mainly cholesterol polyps, which account for about 60% of all gallbladder polyps, mostly due to not eating breakfast resulting in the gallbladder bile can not be emptied in a timely manner crystallized, but also because often eat high cholesterol food caused by the growth is not fast, and will not be malignant, there are no clinical symptoms, you can not take drugs, most only Some of them will even disappear on their own after a period of time.  Tumor polyps mainly refer to adenomatous polyps, which are related to family inheritance and grow faster, and the chance of cancer is 1%-3.5%. It has been reported that adenomatous polyps are commonly found in 90%-98% of gallbladder cancers mixed with their cancerous foci, indicating that such polyps have some relationship with gallbladder cancer. The judgment of whether it is benign or malignant is mostly based on size. That is to say, the larger the polyp is, the greater the possibility of malignancy or cancerous transformation.  Most gallbladder polyps require only dynamic observation and ultrasound review every three months upfront. If the polyp does not increase in size within 1-2 years, it should be left alone. Otherwise, if the patient has one or more indications, surgery is required to prevent cancer and laparoscopic surgery is used to remove the gallbladder.  Patients with indications include: gallbladder polyps with frequent symptoms; polyps larger than 1.0 cm; polyps located in the neck of the gallbladder; patients older than 50 years; patients with gallbladder stones or cholecystitis; and rapid growth in a short period of time, such as from 0.5 cm to 0.8 cm within three months.