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Generally, gallbladder polyps seen in clinical practice are mostly less than 1–2 cm in maximum diameter; polyps larger than 2 cm are less common and carry an increased risk of malignant transformation. If there are concerns, it is recommended to seek medical consultation early. Detailed analysis is as follows:

Most gallbladder polyps are benign, typically measuring between 0.5 and 1 cm in diameter, growing slowly and causing no obvious symptoms. These polyps are often discovered incidentally during routine health checkups. Due to their small size and stable nature, they usually do not require specific treatment—regular follow-up monitoring via ultrasound is sufficient, and they generally have no significant impact on health.
When the polyp diameter exceeds 1 cm, especially when reaching or surpassing 2 cm, close attention is required. Larger polyps may compress the gallbladder wall, causing discomfort such as abdominal pain and bloating. Moreover, the risk of malignancy increases, particularly with adenomatous polyps and other potentially premalignant types. In such cases, further evaluation is necessary to determine the nature of the polyp, and surgical intervention may be required when indicated to prevent disease progression.
After detection of a gallbladder polyp, regular ultrasound follow-ups are essential to monitor changes in size and morphology. If the polyp grows rapidly within a short period, causes symptoms, or exceeds the recommended size threshold, prompt medical evaluation and assessment for appropriate treatment are advised.