Gallbladder Polyps: When to Worry and Next Steps - Gastroenterology and Hepatology

Gallbladder polyp

Hello Doctor, I recently underwent a health check-up at my own expense due to some health issues.
An abdominal ultrasound indicated that I have a gallbladder polyp measuring 0.7 cm.
The doctor asked if it had been present before and mentioned that if it exceeds 1 cm, it could potentially be cancerous and requires intervention.
I recalled that during my health check-up in September 2020, a gallbladder polyp was also found, but I forgot its size at that time.
Upon reviewing last year's health report, it stated that the gallbladder polyp was 0.49 cm, so it has grown over the course of a year.
Should I take action regarding this now, or continue to monitor it annually?
Additionally, I would like to ask if a gastroscopy at a major hospital examines the area of the oropharynx leading into the esophagus, or if it only assesses the esophagus and stomach? I have been feeling a sensation of a foreign body in my throat for several months without finding the cause, and I wonder if this health check-up will address that area.

What recommendations do you have regarding these two issues? Thank you.

Miss Lin, 40~49 year old female. Ask Date: 2021/09/30

Dr. Chen Shidian reply Gastroenterology and Hepatology

1.
Follow-up can be done annually, and most lesions do not grow larger or grow very slowly.
2.
An upper gastrointestinal endoscopy can provide a better view of the throat entrance, but it can be quite uncomfortable; sedation (out-of-pocket expense) is recommended if necessary.

Reply Date: 2021/09/30

More Info

When it comes to gallbladder polyps, the management and follow-up largely depend on the size and characteristics of the polyps. In your case, you mentioned that a gallbladder polyp measuring 0.7 cm was found during an abdominal ultrasound, which has increased from 0.49 cm over the past year. This change in size is significant and warrants further consideration.

Gallbladder polyps are growths on the gallbladder wall, and while most are benign, there is a risk of malignancy, especially as the size increases. Generally, polyps that are less than 1 cm in size are considered low-risk for cancer, while those that are 1 cm or larger have a higher risk of being malignant. The fact that your polyp has grown in size from 0.49 cm to 0.7 cm is concerning, and it is advisable to have a thorough evaluation.

The current guidelines suggest that for polyps measuring between 1 cm and 2 cm, surgical intervention is often recommended due to the increased risk of cancer. For polyps less than 1 cm, the recommendation is typically to monitor them with periodic ultrasounds. However, since your polyp is approaching the 1 cm threshold and has shown growth, it would be prudent to discuss the possibility of surgical removal with your healthcare provider. They may recommend a follow-up ultrasound in 6 to 12 months, but given the growth, a more proactive approach may be warranted.

In terms of your second question regarding upper gastrointestinal endoscopy (EGD), this procedure primarily focuses on examining the esophagus, stomach, and the first part of the small intestine (duodenum). While it does not typically include a direct examination of the throat or larynx, the endoscope does pass through the throat, which may allow for a visual assessment of the oropharynx and larynx to some extent. If you have been experiencing a sensation of a foreign body in your throat, it would be beneficial to communicate this symptom to your physician prior to the procedure. They may consider a laryngoscopy or refer you to an ENT specialist for a more detailed examination of your throat and larynx if necessary.

In summary, given the growth of your gallbladder polyp, it is advisable to have a discussion with your healthcare provider about the potential need for surgical intervention. Additionally, during your upcoming endoscopy, make sure to mention your throat symptoms so that appropriate evaluations can be made. Regular follow-ups and open communication with your healthcare team are essential in managing your health effectively.

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