What are the clinical manifestations of gallbladder polyps?

The clinical manifestations of gallbladder polyps are very obvious. At the same time, the symptoms of gallbladder polyps are very similar to the symptoms of many diseases. In this case, many people cannot identify whether they have gallbladder polyps in time, which hinders the best time for treatment. So, what are the clinical manifestations of gallbladder polyps? The following is a detailed introduction to this issue.

Clinical symptoms associated with gallbladder polyps include abdominal pain, paroxysmal vomiting, abdominal distension, and intolerance to fatty foods. However, some patients have no clinical symptoms and lesions are only discovered during B-ultrasound examination. Most patients mainly present with intermittent right upper abdominal discomfort with or without radiating pain in the right shoulder and back, and some cases have biliary colic.

Risk factors for malignant transformation of gallbladder polyps and surgical indications

(1) The size of gallbladder polyps Most scholars believe that the size of gallbladder polyps is related to their benign or malignant nature. Small gallbladder polyps (<10 mm in diameter) have been found to be mostly benign lesions and can remain unchanged for many years. Large gallbladder polyps suggest malignancy.

(2) Age: The average age of patients with gallbladder polyps, gallbladder adenoma and gallbladder cancer, as well as the diameter of gallbladder polyps are significantly larger than those of patients with non-tumor polyps.

(3) The number and morphology of polyps: Single and broad-based polyps are prone to canceration. The malignant changes of gallbladder polyps tend to occur in older, solitary, and large gallbladder polyps.

(4) Combined with gallstones The relationship between gallbladder cancer and gallstones is relatively clear. Some patients with gallbladder cancer may also have gallstones. The long-term stimulation of gallstones can promote the proliferation of gallbladder epithelial cells and cause cancer. Therefore, the presence of stones increases the risk of gallbladder cancer.

(5) Malignant gallbladder polyps with associated clinical symptoms are more likely to be accompanied by clinical symptoms.

Based on the above risk factors for malignant transformation of gallbladder polyps, for young patients with gallbladder polyps, if the diameter of the polyps is small (10mm is the limit) and there are no symptoms at all, there is no need for surgery; for young patients with gallbladder polyps, if the diameter of the polyps is small and there are only symptoms of indigestion (abdominal distension, belching, etc.), conservative treatment can be used. Patients with obvious biliary colic, especially those with gallstones, should undergo cholecystectomy; patients with polyps with a diameter >10mm and risk factors for malignant transformation of gallbladder polyps should undergo cholecystectomy as soon as possible. For patients with polyp diameter less than 10mm and who do not have risk factors for malignant transformation of gallbladder polyps, they can be observed and regularly examined by ultrasound.

The above content is a detailed introduction to the clinical manifestations of gallbladder polyps. For the specific situation of gallbladder polyps, everyone must understand the specific clinical symptoms. Only when the symptoms of the disease are relatively clear can the most effective treatment be carried out in the first place, and the treatment method used can be appropriate.