Benign Tumors Of The Gallbladder

Benign tumors of the gallbladder are uncommon and consist of benign neoplasms (adenomas, leiomyomas, lipomas, granular cell tumors, hemangiomas) and hyperplastic or inflammatory "pseudotumors" (adenomatous hyperplasia, cholesterol polyps).[ ] [ ] [ ] They may present as polypoid lesions or as thickening of the gallbladder wall. Cholesterol Polyps

Ultrasonography has led to the increased detection of polypoid lesions of the gallbladder. Most polyps are small projections from the gallbladder wall and represent cholesterol deposits. I ' They are usually associated with gallstones. Unlike gallstones, polyps do not change with position during ultrasound examination. I ' Of course, cholesterol polyps are not true neoplasms. Adenomas (Adenomatous Polyps)

Adenomas are usually single, pedunculated polyps. They may contain carcinoma in situ. Careful histologic studies of adenomas and adenocarcinoma of the gallbladder support a polyp-cancer sequence in which the size of the adenoma (>12 mm) is the most important predictor of the presence of malignant change.1 ' Adenomatous Hyperplasia

Adenomatous hyperplasia (adenomyomatosis, cholecystitis glandularis proliferans, diverticulosis) is defined as a thickened wall with Rokitansky-Aschoff sinuses surrounded by a proliferation of fibromuscular tissue. Three types are recognized: the fundal type, consisting of a hemispheric lesion with a central dimple, is the most common. On ultrasound, an indentation is present in the fundus of the gallbladder. The

diffuse type involves the entire gallbladder. The segmental type presents with an annular stricture and has been found in association with carcinoma of the gallbladder.

When biliary symptoms are present, cholecystectomy is recommended regardless of the size or number of polyps. Because the histologic features of polypoid lesions of the gallbladder cannot be determined by non-invasive tests, cholecystectomy is recommended for patients with asymptomatic polyps that are larger than 1 cm. Patients with smaller polyps should be followed by imaging studies every 3 months. Frequent follow-up is necessary because of the potential for rapid growth of neoplastic polyps. Cholecystectomy has been reported to relieve symptoms associated with adenomatous hyperplasia.

Get Rid of Gallstones Naturally

Get Rid of Gallstones Naturally

One of the main home remedies that you need to follow to prevent gallstones is a healthy lifestyle. You need to maintain a healthy body weight to prevent gallstones. The following are the best home remedies that will help you to treat and prevent gallstones.

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