Long-term follow up of gallbladder polyps
Background and Aim: The management of gallbladder polyps (GBP) is directly linked to the early diagnosis of gallbladder cancer (GBC). This study aimed to evaluate the malignant risk of GBP. Methods: In total, 1558 patients diagnosed with GBP were followed. Neoplastic polyps were defined as GBC and...
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| Veröffentlicht in: | Journal of gastroenterology and hepatology 2009-02, Vol.24 (2), p.219-222 |
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| container_title | Journal of gastroenterology and hepatology |
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| creator | Park, Jeong Youp Hong, Sung Pil Kim, Yoon Jae Kim, Hong Jeoung Kim, Hee Man Cho, Jae Hee Park, Seung Woo Song, Si Young Chung, Jae Bock Bang, Seungmin |
| description | Background and Aim: The management of gallbladder polyps (GBP) is directly linked to the early diagnosis of gallbladder cancer (GBC). This study aimed to evaluate the malignant risk of GBP.
Methods: In total, 1558 patients diagnosed with GBP were followed. Neoplastic polyps were defined as GBC and its premalignant lesions. The risk for malignancy was estimated with the cumulative detection rate of neoplastic polyps.
Results: Thirty‐three cases (2.1%) were diagnosed with neoplastic polyps. The cumulative detection rates of neoplastic polyps were 1.7% at 1 year, 2.8% at 5 years, and 4% at 8 years after diagnosis. The size of GBP and the presence of gallstones were risk factors for neoplastic polyps. Polyps ≥ 10 mm had a 24.2 times greater risk of malignancy than polyps |
| doi_str_mv | 10.1111/j.1440-1746.2008.05689.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_66924786</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>66924786</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4359-55cc29d6376bf77caddccdb2ff63f0cb4f69b18afed639565934c66db6da66043</originalsourceid><addsrcrecordid>eNqNkE1LwzAYgIMobn78BelFwUNr0uajOXiQqZtSFGGit5CmyehM15qsbPv3tm7Mq7kkkOd5Ex4AAgQj1K2beYQwhiFimEYxhGkECU15tD4Aw_3FIRjCFJGQJ4gPwIn3cwghhowcgwHikOCYpENwndWLWbjUrgpMbW29CtomqE0wk9bmVhaFdkFT203jz8CRkdbr891-Ct4fH6ajSZi9jp9Gd1mocEJ4SIhSMS9owmhuGFPdCKWKPDaGJgaqHBvKc5RKozuGE0p4ghWlRU4LSSnEySm42s5tXP3dar8UVemVtlYudN16QSmPMUtpB6ZbULnae6eNaFxZSbcRCIo-k5iLvoboa4g-k_jNJNaderF7o80rXfyJuy4dcLkDpFfSGicXqvR7LkaQxJCwjrvdcqvS6s2_PyCex5P-1Pnh1i_9Uq_3vnRfgrKEEfHxMhb303SUsc83kSU_B5KRmw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>66924786</pqid></control><display><type>article</type><title>Long-term follow up of gallbladder polyps</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><creator>Park, Jeong Youp ; Hong, Sung Pil ; Kim, Yoon Jae ; Kim, Hong Jeoung ; Kim, Hee Man ; Cho, Jae Hee ; Park, Seung Woo ; Song, Si Young ; Chung, Jae Bock ; Bang, Seungmin</creator><creatorcontrib>Park, Jeong Youp ; Hong, Sung Pil ; Kim, Yoon Jae ; Kim, Hong Jeoung ; Kim, Hee Man ; Cho, Jae Hee ; Park, Seung Woo ; Song, Si Young ; Chung, Jae Bock ; Bang, Seungmin</creatorcontrib><description>Background and Aim: The management of gallbladder polyps (GBP) is directly linked to the early diagnosis of gallbladder cancer (GBC). This study aimed to evaluate the malignant risk of GBP.
Methods: In total, 1558 patients diagnosed with GBP were followed. Neoplastic polyps were defined as GBC and its premalignant lesions. The risk for malignancy was estimated with the cumulative detection rate of neoplastic polyps.
Results: Thirty‐three cases (2.1%) were diagnosed with neoplastic polyps. The cumulative detection rates of neoplastic polyps were 1.7% at 1 year, 2.8% at 5 years, and 4% at 8 years after diagnosis. The size of GBP and the presence of gallstones were risk factors for neoplastic polyps. Polyps ≥ 10 mm had a 24.2 times greater risk of malignancy than polyps < 10 mm. However, 15 of 33 neoplastic polyps (45.5%) were < 10 mm at the time of diagnosis of GBP. During follow up in 36 (3.5%) of 1027 cases, an increase in size was detected; of these, nine (25%) had neoplastic polyps.
Conclusion: Even small polyps have a risk of malignancy, and careful long‐term follow up of GBP will help detect and treat early GBC.</description><identifier>ISSN: 0815-9319</identifier><identifier>EISSN: 1440-1746</identifier><identifier>DOI: 10.1111/j.1440-1746.2008.05689.x</identifier><identifier>PMID: 19054258</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Publishing Asia</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Cell Transformation, Neoplastic - pathology ; Cholecystectomy ; Early Detection of Cancer ; Female ; Follow-Up Studies ; gallbladder ; gallbladder cancer ; Gallbladder Diseases - diagnostic imaging ; Gallbladder Diseases - pathology ; Gallbladder Diseases - surgery ; Gallbladder Neoplasms - diagnostic imaging ; Gallbladder Neoplasms - pathology ; Gallbladder Neoplasms - surgery ; gallbladder polyp ; Gallstones - pathology ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Liver. Biliary tract. Portal circulation. Exocrine pancreas ; Male ; Medical sciences ; Middle Aged ; Polyps - diagnostic imaging ; Polyps - pathology ; Polyps - surgery ; Precancerous Conditions - diagnostic imaging ; Precancerous Conditions - pathology ; Precancerous Conditions - surgery ; Predictive Value of Tests ; Risk Assessment ; Risk Factors ; Time Factors ; Tumors ; Ultrasonography ; Young Adult</subject><ispartof>Journal of gastroenterology and hepatology, 2009-02, Vol.24 (2), p.219-222</ispartof><rights>2008 The Authors. Journal compilation © 2008 Journal of Gastroenterology and Hepatology Foundation and Blackwell Publishing Asia Pty Ltd</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4359-55cc29d6376bf77caddccdb2ff63f0cb4f69b18afed639565934c66db6da66043</citedby><cites>FETCH-LOGICAL-c4359-55cc29d6376bf77caddccdb2ff63f0cb4f69b18afed639565934c66db6da66043</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1440-1746.2008.05689.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1440-1746.2008.05689.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21052057$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19054258$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Park, Jeong Youp</creatorcontrib><creatorcontrib>Hong, Sung Pil</creatorcontrib><creatorcontrib>Kim, Yoon Jae</creatorcontrib><creatorcontrib>Kim, Hong Jeoung</creatorcontrib><creatorcontrib>Kim, Hee Man</creatorcontrib><creatorcontrib>Cho, Jae Hee</creatorcontrib><creatorcontrib>Park, Seung Woo</creatorcontrib><creatorcontrib>Song, Si Young</creatorcontrib><creatorcontrib>Chung, Jae Bock</creatorcontrib><creatorcontrib>Bang, Seungmin</creatorcontrib><title>Long-term follow up of gallbladder polyps</title><title>Journal of gastroenterology and hepatology</title><addtitle>J Gastroenterol Hepatol</addtitle><description>Background and Aim: The management of gallbladder polyps (GBP) is directly linked to the early diagnosis of gallbladder cancer (GBC). This study aimed to evaluate the malignant risk of GBP.
Methods: In total, 1558 patients diagnosed with GBP were followed. Neoplastic polyps were defined as GBC and its premalignant lesions. The risk for malignancy was estimated with the cumulative detection rate of neoplastic polyps.
Results: Thirty‐three cases (2.1%) were diagnosed with neoplastic polyps. The cumulative detection rates of neoplastic polyps were 1.7% at 1 year, 2.8% at 5 years, and 4% at 8 years after diagnosis. The size of GBP and the presence of gallstones were risk factors for neoplastic polyps. Polyps ≥ 10 mm had a 24.2 times greater risk of malignancy than polyps < 10 mm. However, 15 of 33 neoplastic polyps (45.5%) were < 10 mm at the time of diagnosis of GBP. During follow up in 36 (3.5%) of 1027 cases, an increase in size was detected; of these, nine (25%) had neoplastic polyps.
Conclusion: Even small polyps have a risk of malignancy, and careful long‐term follow up of GBP will help detect and treat early GBC.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Cell Transformation, Neoplastic - pathology</subject><subject>Cholecystectomy</subject><subject>Early Detection of Cancer</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>gallbladder</subject><subject>gallbladder cancer</subject><subject>Gallbladder Diseases - diagnostic imaging</subject><subject>Gallbladder Diseases - pathology</subject><subject>Gallbladder Diseases - surgery</subject><subject>Gallbladder Neoplasms - diagnostic imaging</subject><subject>Gallbladder Neoplasms - pathology</subject><subject>Gallbladder Neoplasms - surgery</subject><subject>gallbladder polyp</subject><subject>Gallstones - pathology</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Liver. Biliary tract. Portal circulation. Exocrine pancreas</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Polyps - diagnostic imaging</subject><subject>Polyps - pathology</subject><subject>Polyps - surgery</subject><subject>Precancerous Conditions - diagnostic imaging</subject><subject>Precancerous Conditions - pathology</subject><subject>Precancerous Conditions - surgery</subject><subject>Predictive Value of Tests</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Time Factors</subject><subject>Tumors</subject><subject>Ultrasonography</subject><subject>Young Adult</subject><issn>0815-9319</issn><issn>1440-1746</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE1LwzAYgIMobn78BelFwUNr0uajOXiQqZtSFGGit5CmyehM15qsbPv3tm7Mq7kkkOd5Ex4AAgQj1K2beYQwhiFimEYxhGkECU15tD4Aw_3FIRjCFJGQJ4gPwIn3cwghhowcgwHikOCYpENwndWLWbjUrgpMbW29CtomqE0wk9bmVhaFdkFT203jz8CRkdbr891-Ct4fH6ajSZi9jp9Gd1mocEJ4SIhSMS9owmhuGFPdCKWKPDaGJgaqHBvKc5RKozuGE0p4ghWlRU4LSSnEySm42s5tXP3dar8UVemVtlYudN16QSmPMUtpB6ZbULnae6eNaFxZSbcRCIo-k5iLvoboa4g-k_jNJNaderF7o80rXfyJuy4dcLkDpFfSGicXqvR7LkaQxJCwjrvdcqvS6s2_PyCex5P-1Pnh1i_9Uq_3vnRfgrKEEfHxMhb303SUsc83kSU_B5KRmw</recordid><startdate>200902</startdate><enddate>200902</enddate><creator>Park, Jeong Youp</creator><creator>Hong, Sung Pil</creator><creator>Kim, Yoon Jae</creator><creator>Kim, Hong Jeoung</creator><creator>Kim, Hee Man</creator><creator>Cho, Jae Hee</creator><creator>Park, Seung Woo</creator><creator>Song, Si Young</creator><creator>Chung, Jae Bock</creator><creator>Bang, Seungmin</creator><general>Blackwell Publishing Asia</general><general>Wiley-Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200902</creationdate><title>Long-term follow up of gallbladder polyps</title><author>Park, Jeong Youp ; Hong, Sung Pil ; Kim, Yoon Jae ; Kim, Hong Jeoung ; Kim, Hee Man ; Cho, Jae Hee ; Park, Seung Woo ; Song, Si Young ; Chung, Jae Bock ; Bang, Seungmin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4359-55cc29d6376bf77caddccdb2ff63f0cb4f69b18afed639565934c66db6da66043</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Cell Transformation, Neoplastic - pathology</topic><topic>Cholecystectomy</topic><topic>Early Detection of Cancer</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>gallbladder</topic><topic>gallbladder cancer</topic><topic>Gallbladder Diseases - diagnostic imaging</topic><topic>Gallbladder Diseases - pathology</topic><topic>Gallbladder Diseases - surgery</topic><topic>Gallbladder Neoplasms - diagnostic imaging</topic><topic>Gallbladder Neoplasms - pathology</topic><topic>Gallbladder Neoplasms - surgery</topic><topic>gallbladder polyp</topic><topic>Gallstones - pathology</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Liver. Biliary tract. Portal circulation. Exocrine pancreas</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Polyps - diagnostic imaging</topic><topic>Polyps - pathology</topic><topic>Polyps - surgery</topic><topic>Precancerous Conditions - diagnostic imaging</topic><topic>Precancerous Conditions - pathology</topic><topic>Precancerous Conditions - surgery</topic><topic>Predictive Value of Tests</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Time Factors</topic><topic>Tumors</topic><topic>Ultrasonography</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Park, Jeong Youp</creatorcontrib><creatorcontrib>Hong, Sung Pil</creatorcontrib><creatorcontrib>Kim, Yoon Jae</creatorcontrib><creatorcontrib>Kim, Hong Jeoung</creatorcontrib><creatorcontrib>Kim, Hee Man</creatorcontrib><creatorcontrib>Cho, Jae Hee</creatorcontrib><creatorcontrib>Park, Seung Woo</creatorcontrib><creatorcontrib>Song, Si Young</creatorcontrib><creatorcontrib>Chung, Jae Bock</creatorcontrib><creatorcontrib>Bang, Seungmin</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of gastroenterology and hepatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Park, Jeong Youp</au><au>Hong, Sung Pil</au><au>Kim, Yoon Jae</au><au>Kim, Hong Jeoung</au><au>Kim, Hee Man</au><au>Cho, Jae Hee</au><au>Park, Seung Woo</au><au>Song, Si Young</au><au>Chung, Jae Bock</au><au>Bang, Seungmin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long-term follow up of gallbladder polyps</atitle><jtitle>Journal of gastroenterology and hepatology</jtitle><addtitle>J Gastroenterol Hepatol</addtitle><date>2009-02</date><risdate>2009</risdate><volume>24</volume><issue>2</issue><spage>219</spage><epage>222</epage><pages>219-222</pages><issn>0815-9319</issn><eissn>1440-1746</eissn><abstract>Background and Aim: The management of gallbladder polyps (GBP) is directly linked to the early diagnosis of gallbladder cancer (GBC). This study aimed to evaluate the malignant risk of GBP.
Methods: In total, 1558 patients diagnosed with GBP were followed. Neoplastic polyps were defined as GBC and its premalignant lesions. The risk for malignancy was estimated with the cumulative detection rate of neoplastic polyps.
Results: Thirty‐three cases (2.1%) were diagnosed with neoplastic polyps. The cumulative detection rates of neoplastic polyps were 1.7% at 1 year, 2.8% at 5 years, and 4% at 8 years after diagnosis. The size of GBP and the presence of gallstones were risk factors for neoplastic polyps. Polyps ≥ 10 mm had a 24.2 times greater risk of malignancy than polyps < 10 mm. However, 15 of 33 neoplastic polyps (45.5%) were < 10 mm at the time of diagnosis of GBP. During follow up in 36 (3.5%) of 1027 cases, an increase in size was detected; of these, nine (25%) had neoplastic polyps.
Conclusion: Even small polyps have a risk of malignancy, and careful long‐term follow up of GBP will help detect and treat early GBC.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Publishing Asia</pub><pmid>19054258</pmid><doi>10.1111/j.1440-1746.2008.05689.x</doi><tpages>4</tpages></addata></record> |
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| subjects | Adolescent Adult Aged Aged, 80 and over Biological and medical sciences Cell Transformation, Neoplastic - pathology Cholecystectomy Early Detection of Cancer Female Follow-Up Studies gallbladder gallbladder cancer Gallbladder Diseases - diagnostic imaging Gallbladder Diseases - pathology Gallbladder Diseases - surgery Gallbladder Neoplasms - diagnostic imaging Gallbladder Neoplasms - pathology Gallbladder Neoplasms - surgery gallbladder polyp Gallstones - pathology Gastroenterology. Liver. Pancreas. Abdomen Humans Liver. Biliary tract. Portal circulation. Exocrine pancreas Male Medical sciences Middle Aged Polyps - diagnostic imaging Polyps - pathology Polyps - surgery Precancerous Conditions - diagnostic imaging Precancerous Conditions - pathology Precancerous Conditions - surgery Predictive Value of Tests Risk Assessment Risk Factors Time Factors Tumors Ultrasonography Young Adult |
| title | Long-term follow up of gallbladder polyps |
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