Abstract：
BACKGROUND: Gallbladder polyps are increasingly being identified due to the widespread use of abdominal ultrasound imaging. They are concerning lesions due to their potential malignant risk. It is hoped that managing them correctly will play a role in improving poor survival rates of gallbladder cancer. Awareness of these lesions is lacking. Management continues to be guided by expert opinion and observational studies and a number of consensus statements exist.
OBJECTIVE: This paper reviews and summarises the current literature and provides an approach for general practitioners based on the available guidance.
CONCLUSIONS: Although minor variation exists between consensus statements, the risk of malignancy for gallbladder polyps is still largely dictated by size, with those ≤5 mm generally considered to pose little risk and not requiring follow-up, whereas those ≥10 mm considered at greater risk and requiring referral for cholecystectomy.
OBJECTIVE: This paper reviews and summarises the current literature and provides an approach for general practitioners based on the available guidance.
CONCLUSIONS: Although minor variation exists between consensus statements, the risk of malignancy for gallbladder polyps is still largely dictated by size, with those ≤5 mm generally considered to pose little risk and not requiring follow-up, whereas those ≥10 mm considered at greater risk and requiring referral for cholecystectomy.
摘要：
背景：由于腹部超声成像的广泛使用，胆囊息肉越来越多地被识别。由于其潜在的恶性风险，他们正在关注病变。希望正确管理它们将在提高胆囊癌的低生存率方面发挥作用。缺乏对这些病变的认识。管理层继续以专家意见和观察研究为指导，并且存在许多共识声明。
目的：本文回顾并总结了现有文献，并根据现有的指导为全科医生提供了一种方法。
结论：尽管共识声明之间存在微小差异，胆囊息肉的恶性风险仍然很大程度上取决于大小，一般认为≤5毫米的风险很小，不需要随访，而那些≥10mm的患者被认为风险更大，需要转诊进行胆囊切除术。
目的：本文回顾并总结了现有文献，并根据现有的指导为全科医生提供了一种方法。
结论：尽管共识声明之间存在微小差异，胆囊息肉的恶性风险仍然很大程度上取决于大小，一般认为≤5毫米的风险很小，不需要随访，而那些≥10mm的患者被认为风险更大，需要转诊进行胆囊切除术。
