Gallbladder polyps
In early April, I went to Hsinchu Mackay Memorial Hospital for an examination and found that I have a 0.8 cm polyp in my gallbladder.
The doctor told me that once it reaches 1 cm, I will definitely need to have my entire gallbladder removed, as there is no medication to treat it.
Is this really the case? What are the consequences if it is not addressed? Thank you!
Zhu, 30~39 year old female. Ask Date: 2005/04/28
Dr. He Zhenming reply Surgery
When gallbladder polyps reach 1 centimeter, the risk of malignancy is approximately 10-20%.
Therefore, when they grow to 1 centimeter, laparoscopic cholecystectomy should be considered.
Wishing you good health.
Reply Date: 2005/04/28
More Info
Gallbladder polyps are growths that protrude from the lining of the gallbladder. They are relatively common and often discovered incidentally during imaging studies, such as ultrasound or CT scans. The management of gallbladder polyps largely depends on their size, characteristics, and the presence of symptoms.
In your case, you mentioned that a polyp measuring 0.8 cm was found. The general guideline for gallbladder polyps is that those measuring less than 1 cm are usually considered benign and do not typically require surgical intervention. However, once a polyp reaches 1 cm or larger, the risk of malignancy increases, and surgical removal of the gallbladder (cholecystectomy) is often recommended. This is because polyps of this size have a higher likelihood of being associated with gallbladder cancer, especially if they exhibit certain characteristics, such as irregular borders or rapid growth.
If left untreated, larger polyps can potentially lead to complications, including the risk of cancer. Gallbladder cancer is rare, but it is more likely to occur in patients with larger polyps or those with a history of gallbladder disease. Therefore, monitoring the size and characteristics of the polyp is crucial. Regular follow-up with imaging studies may be recommended to track any changes in the polyp's size or appearance.
In terms of treatment options, if the polyp remains stable and is less than 1 cm, your doctor may suggest a watchful waiting approach, with periodic ultrasounds to monitor its size. However, if the polyp grows to 1 cm or more, or if you experience symptoms such as abdominal pain, nausea, or jaundice, surgical intervention may be necessary.
It's also important to consider other factors, such as your overall health, age, and any underlying medical conditions, when discussing surgical options. If you have a history of gallbladder disease or other risk factors for gallbladder cancer, your doctor may recommend surgery sooner rather than later.
In summary, while a 0.8 cm gallbladder polyp does not typically require immediate surgery, it is essential to monitor its size and characteristics closely. If it grows to 1 cm or larger, or if you develop symptoms, surgical removal of the gallbladder may be warranted to prevent potential complications. Always consult with your healthcare provider for personalized advice and to discuss the best management plan for your specific situation.
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