Gallbladder polyp is an impression diagnosis often suggested by ultrasound examination of gallbladder, we should treat it differently, it can be considered as a disease in a broad sense, after all, a healthy and good gallbladder should have relatively smooth inner wall, relatively clear bile inside the cyst and no foreign body. But the reason why we have to treat it differently is that most of the gallbladder polyps found by ultrasound do not need to be treated, so from the treatment point of view he is not a disease, only a few ultrasound-detected gallbladder polyps need surgery or medication, so there is no need to be upset, angry, anxious because of the discovery of gallbladder polyps! Is it just ignore it, no, let’s see what kind of polyps to pay attention to! Gallbladder polyps that can be taken lightly If the ultrasound examination suggests that the size of polyps is less than 5mm, more than one, such polyps we can take lightly, because ultrasound has better diagnostic accuracy for polyps above 5mm, especially for polyps above 6.5mm is possible to determine whether there is blood flow inside the polyps. Why? Because gallbladder polyps are divided into five types: cholesterol polyps, inflammatory polyps, hyperplastic polyps, adenomatous polyps, lymphatic polyps, there is no need to understand these terms, of which cholesterol polyps account for more than 50% of the incidence of all polyp types, cholesterol polyps are actually small gallbladder stones, no cancer, for gallbladder polyps less than 5 mm parenchymal for small gallbladder stones The probability is more than 90%. From the high columnar epithelial structure of the gallbladder wall, small sediment-like stones tend to accumulate in the epithelium of the wrinkled gallbladder wall, so the ultrasound examination usually shows multiple slightly strong echogenicity, so it seems that a single polyp is much more scary than a multiple polyp! So the chances of multiple, less than 5mm diameter gallbladder polyps being benign lesions are over 99%, which should be very close to the positive rate of DNA paternity test! Need to pay attention to the gallbladder polyps polyp diameter of 6.5-10mm, women older than 50 years old, combined with cholecystitis gallbladder stones, whether single or multiple, more than 50% of such polyps are also mostly cholesterol polyps, but with the increase in age, the decline of their immunity, female endocrine function changes, coupled with long-term gallbladder stones on the wall of the gallbladder Friction, recurrent gallbladder inflammation, are increasing the risk of cancer in the gallbladder wall, and even polyps of stone nature are prone to common bile duct stones that cause obstructive jaundice. Therefore, such polyps should be taken seriously and regular ultrasound review in about 6 months is important. Gallbladder polyps with a diameter of 10 mm or more, women older than 50 years old, combined with cholecystitis and gallbladder stones, and gallbladder polyps with obvious clinical symptoms are recommended for elective surgery if they meet the above two criteria, while those larger than 13 mm, with rapid growth and wide base on recent review need surgery within a short period of time. Nearly 10% of gallbladder polyps larger than 10mm have become cancerous, although nearly 90% of them may be benign, but in actual clinical work, nearly 90% of those larger than 13mm, with rapid growth on recent review and wide base are confirmed to be gallbladder cancer in pathological return!