What are the manifestations of gallbladder polyps and how to diagnose them?

  Clinical presentation The majority of patients with CPs have no clinical symptoms and have good gallbladder function. Such patients should be followed up with regular BUS (3-6 months). Surgery should be considered only if there are significant symptoms or if the PLG is rapidly increasing. If the gallbladder is functioning well by then, percutaneous cholecystoscopic polyp removal is indicated. These polyps are often <10 mm (82%) and are predominantly multiple (75%). They are mulberry-shaped, with a thin thread-like tip, brittle and easy to fall, and thus easy to remove. If the gallbladder is dysfunctional, laparoscopic cholecystectomy (LC) can be performed.  Benign non-cholesterol PLGs account for 35% of cases and include adenomas and adenomyomatosis, inflammatory polyps, adenomatous hyperplasia and rare mesenchymal tumors. Of these, inflammatory polyps are not reported to be malignant but are associated with inflammation of the gallbladder and most have clinical symptoms. The remaining types have the potential for malignant transformation. Therefore, once detected, prompt surgical removal is recommended to clarify the pathological nature.  Gallbladder polyps can be clinically divided into three periods, namely: active growth period, relative stability period, absorption and dissipation period In the treatment, generally go through the process of "active growth period - relative stability period - absorption and dissipation period", the characteristics of each period are as follows: active growth period relative stability period absorption and dissipation period gallbladder polyp volume increasing, no change Gradually decreasing Number of gallbladder polyps Increasing No change Gradually decreasing Diagnosis PLG often has no clinical symptoms or mild symptoms. The diagnosis is mainly based on imaging. There are more diagnostic methods for gallbladder polyp-like lesions, such as oral cholecystography, ultrasound, CT, magnetic resonance cholangiopancreatography (MRCP), and intracavitary ultrasound (EUS), but the most important means to diagnose gallbladder polyps is still ultrasound.