A New Risk Scoring System to Predict Malignancy in Gallbladder Polyps: a Single-Center Study

Objective Ultrasonography (US) is the most commonly used radiological method in the diagnosis of gallbladder polyps (GBPs). Patients diagnosed with GBPs on US are operated on with risk factors that do not have a high level of evidence. Our aim in this study is to determine the sensitivity of US in d...

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Bibliographic Details
Published in:Journal of gastrointestinal surgery 2022-09, Vol.26 (9), p.1846-1852
Main Authors: Güneş, Yasin, Taşdelen, İksan, Ergin, Anıl, Çakmak, Ahmet, Bilgili, Ali Cihan, Ağar, Mustafa, Aydın, Mehmet Timuçin
Format: Article
Language:English
Subjects:
Abdomen
Age
Cancer
Cholecystectomy
Cholesterol
Gallbladder
Gallbladder - surgery
Gallbladder cancer
Gallbladder Diseases - diagnostic imaging
Gallbladder Diseases - surgery
Gallbladder Neoplasms - diagnostic imaging
Gallbladder Neoplasms - surgery
Gallstones
Gastroenterology
Gastrointestinal Neoplasms - pathology
Gastrointestinal surgery
Humans
Medicine
Medicine & Public Health
Original Article
Polyps
Polyps - diagnostic imaging
Polyps - surgery
Retrospective Studies
Risk Factors
Statistical analysis
Surgery
Tumors
Ultrasonic imaging
Ultrasonography - methods
Values
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Summary:Objective Ultrasonography (US) is the most commonly used radiological method in the diagnosis of gallbladder polyps (GBPs). Patients diagnosed with GBPs on US are operated on with risk factors that do not have a high level of evidence. Our aim in this study is to determine the sensitivity of US in diagnosis GBPs, to define risk factors for neoplastic (NP) polyps, and to develop the risk scoring system. Materials and Methods Between July 2011 and July 2021, 173 patients who were found to have GBPs in the pathology specimens after cholecystectomy were included in the study. Patients were divided into two groups: nonneoplastic and NP groups. Results GBPs in patients who underwent abdominal US for any reason was 4.5%. The sensitivity of US in the diagnosis of GBPs was 56.6%. Comparison between groups, age ≥50, presence of symptoms, polyp size >12.5mm, single polyp, concomitant gallstones, and gallbladder wall thickness ≥4mm were statistically in the NP group. A risk scoring system was developed using these values. If the risk score was
ISSN:1091-255X
1873-4626
DOI:10.1007/s11605-022-05351-8