Multiple gallbladder polyps were found during the physical examination, one of which is approximately 4mm-3mm in size. Is treatment necessary?
During a recent physical examination, I was diagnosed with multiple gallbladder polyps, with the largest measuring approximately 4mm x 3mm. I am currently not experiencing any discomfort or pain. Considering the size and number of the polyps, I am concerned that treatment might be necessary, but I also do not want to undergo excessive medical intervention.
Doctor's answer (1)
Multiples polyps were found in the gallbladder during a physical examination, one of which measures approximately 4mm-3mm. Whether treatment is needed cannot be generalized and must be determined through comprehensive evaluation. In terms of size, this polyp is currently less than 5mm, which is considered small, and carries a relatively low risk of malignancy. Generally, observation is usually recommended initially.
If the polyp grows rapidly—for example, increasing in size by more than 2mm within six months—or if gallstones, cholecystitis are present, along with frequent symptoms such as right upper abdominal pain, nausea, or vomiting, surgical removal is recommended to prevent deterioration. Additionally, if the patient is older than 50 years or has a family history of gallbladder cancer, even small polyps should be treated cautiously with close follow-up and surgical intervention if necessary.
If no aforementioned risk factors exist, it is recommended to undergo ultrasound examination every 6-12 months to monitor changes in the polyps. If the polyps remain stable over time without significant growth, continued observation is appropriate. However, if any abnormal changes occur, prompt medical consultation is advised for the development of an appropriate treatment plan.
