Question 481 · LEK · Gallbladder diseases
A 55-year-old female patient reported to a GP with her abdominal ultrasound scan results. The scan, which she had had due to suspected nephrolithiasis, revealed a polypous lesion of size 11 mm, adhering to the gall bladder wall. What should you do next?
- A. refer the patient for cholecystectomy.
- B. refer the patient for ultrasound-guided biopsy of the lesion.
- C. refer the patient for a follow-up ultrasound scan in 12 months.
- D. refer the patient for a PET-CT scan.
- E. initiate ursodeoxycholic acid treatment.
Hint
Management of gallbladder polyps depends mainly on their size; recall the threshold above which malignancy risk justifies surgery.
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