Bugosen Tannous Munira, Tagle Arróspide Martín, Huerta-Mercado Tenorio Jorge, Scavino Levy Yolanda
Egresada Facultad de Medicina Alberto Hurtado, UPCH, Lima-Perú.
Rev Gastroenterol Peru. 2011 Jan-Mar;31(1):32-7.
To describe the clinical and anatomopathologic characteristics of gallbladder polyps found in patients who underwent cholecystectomy at Clinica Anglo Americana for the 1999-2007 period.
Descriptive and retrospective study that started at Pathology Department where patients with anatomopathologic finding of gallbladder polyps who underwent cholecystectomy for the 1999-2007 period were selected. Clinical records were reviewed to take ultrasonographic, anatomopathologic and clinical characteristics, which were included and studied in a data base in Microsoft Excel.
Gallbladder polyps were found in 172 (10%) of 1707 gallbladders that were analized. Cholesterolosic polyps were found in 95.4% of the cases, 4% were adenomas and 0.6% were hyperplasic polyps. Gallbladder polyps ≥ 10 mm were found in 32,25% of the cases. A 90% of these polyps were cholesterolosic and a 10% were adenomas. No malign polyps were found in this study.
The vast majority of gallbladder polyps, including the ≥ 10 mm group, were cholesterolosic. The physician decision to remove the gallbladder must be individualized and discussed with each patient, considering gallbladder polyp characteristics such as size and growth rate of the lesion.
描述1999年至2007年期间在英美国际诊所接受胆囊切除术的患者中发现的胆囊息肉的临床和解剖病理学特征。
开展描述性回顾性研究，始于病理科，选取1999年至2007年期间因胆囊息肉解剖病理学检查结果而接受胆囊切除术的患者。查阅临床记录以获取超声、解剖病理学和临床特征，并将其纳入Microsoft Excel数据库进行研究。
在分析的1707个胆囊中，有172个（10%）发现有胆囊息肉。95.4%的病例为胆固醇性息肉，4%为腺瘤，0.6%为增生性息肉。32.25%的病例中发现胆囊息肉≥10mm。这些息肉中90%为胆固醇性息肉，10%为腺瘤。本研究中未发现恶性息肉。
绝大多数胆囊息肉，包括≥10mm组，为胆固醇性息肉。医生决定切除胆囊必须个体化，并与每位患者讨论，同时考虑胆囊息肉的特征，如病变的大小和生长速度。
