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Revista chilena de cirugía

versión On-line ISSN 0718-4026

Resumen

SEGUEL S, GABRIEL et al. Clinical and pathological features of gallbladder polyps. Rev Chil Cir [online]. 2007, vol.59, n.3, pp.208-211. ISSN 0718-4026.  http://dx.doi.org/10.4067/S0718-40262007000300007.

Background: There are many different protocols for the management of gallbladder polyps, like performing a cholecystectomy to every patient who presents one, or only treat those who are symptomatic or have a diameter bigger than 10 mm. Aim: To analyze the features of gallbladder polyps, specially their malignant potential. Material and methods: Review of medical records of all patients subjected to a cholecystectomy in a military hospital between 1995 and 2004, in whom the pathological study of the gallbladder disclosed the presence of polyps. Results: In the period, the presence of polyps was reported in 118 of 3780 gallbladders analyzed (3.1%). The age range of patients was 18 to 85 years and 61 were women. The mean size of the lesions was 4.1 mm, 68% of polyps were of cholesterol, 20% were hyperplastic and 9% were adenomas. Three patients had an in situ gallbladder cancer in adenomatous polyps of 5, 10 and 5 mm of diameter. Two of these subjects had cholelithiasis. Conclusions: The frequency of gallbladder polyps found in this series of patients, is higher than that reported elsewhere. The presence of cancer in polyps of 5 mm is noteworthy

Palabras clave : Gallbladder polyps; gallbladder cancer; cholecystectomy.

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