PATHOLOGY

PATHOLOGY MCQ

BILIARY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Prophylactic cholecystectomy should be considered in all of the following scenarios EXCEPT:
A
gallstone 3.5cm
B
hemolytic anemias
C
heart transplant candidate
D
polyp 0.6cm
Explanation: 

Detailed explanation-1: -Gallbladder polyps (GBPs) are benign lesions originating from the mucosa. Polyps are usually harmless, but cases with a diameter of more than 1 cm and adenomatous features are of clinical importance due to the possibility of developing cancer.

Detailed explanation-2: -Additional reasons to consider prophylactic laparoscopic cholecystectomy include the following: Calculi greater than 3 cm in diameter, particularly in individuals in geographic regions with a high prevalence of gallbladder cancer. Chronically obliterated cystic duct. Nonfunctioning gallbladder.

Detailed explanation-3: -Any gallbladder polyp that is felt to be symptomatic should be removed. In patients at risk for malignancy, a polyp of 6 mm or greater should likely be resected.

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