Which is better for gallbladder polyps of the same size, pedicle or sessile?

Mondo Health Updated on 2024-02-07

Gallbladder polyps are a common benign disease of the gallbladder that refers to mucosal bulging lesions that protrude within the gallbladder. The size and shape of gallbladder polyps are of great significance for judging their benign and malignant nature. Among them, pedicle and sessile are an important aspect of the morphological characteristics of gallbladder polyps. So, which is better for gallbladder polyps of the same size, pedicled or sessile?

First, let's understand the difference between pedunculated gallbladder polyps and sessile gallbladder polyps. A pedunculated gallbladder polyp is a polyp that has an elongated pedicle that is connected to the gallbladder wall, while a sessile gallbladder polyp does not have this elongated pedicle and grows directly from the gallbladder wall. In general, pedunculated gallbladder polyps are more likely to be considered benign, while sessile gallbladder polyps are more likely to be malignant.

Why are pedunculated gallbladder polyps more likely to be benign? This is because pedunculated gallbladder polyps grow in a way that resembles a "mushroom head" and have a narrow connection to the gallbladder wall, which is less prone to malignant growth. On the other hand, sessile gallbladder polyps do not have this "mushroom head" and grow directly from the gallbladder wall, which is prone to malignant transformation.

Of course, this does not mean that pedunculated gallbladder polyps are necessarily benign and sessile gallbladder polyps are necessarily malignant. It is also necessary to make a comprehensive judgment based on other factors, such as the size, shape, texture, and growth rate of gallbladder polyps. For gallbladder polyps that are suspected to be malignant, further examination and diagnosis are required, such as contrast-enhanced ultrasonography, contrast-enhanced CT, etc.

In conclusion, a gallbladder polyp of the same size, a pedunculated one is more likely to be benign than a sessile one. However, the final diagnosis needs to be combined with other factors. At the same time, for gallbladder polyps that are suspected to be malignant, they should seek medical attention in time for examination and **.

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