Deniz TUNCEL, Banu ÖZGÜVEN, Ahu SARI, Fevziye KABUKCUOĞLU, Ayşe ÖZAĞARI, Nazlı AKSU, Muharrem BATTAL

Safra Kesesinin Polipoid Lezyonları: 99 Olgunun Retrospektif Analizi

Amaç: Safra kesesinin polipoid lezyonları safra kesesi mukozasından kaynaklanan lezyonlardır. Bu çalışmada retrospektif olarak 10 yılda gerçekleşen kolesistektomi olguları içerisinde raporlanmış polipoid lezyonların klinik ve histopatolojik olarak değerlendirilmesi amaçlanmıştır. Materyal ve Metod: Kliniğimizde Haziran 2004 ile Haziran 2014 tarihleri arasında raporlanmış 4479 kolesistektomi olgusu safra kesesinin polipoid lezyonları açısından klinik bulguları ve histopatolojik tanıları ile retrospektif olarak değerlendirilmiştir. Bulgular: Kolesistektomi yapılan 4479 olgunun 99’unda (% 2.2) safra kesesinin polpoid lezyonları izlenmiştir. Karın ağrısı en sık karşılaşılan semptom olup histopatolojik incelemede 42 olguda kolesterol polibi, 2 inflamatuar polip, 2 hiperplastik polip, 2 intestinal tip adenom, 18 adenomyom, 29 adenomyomatöz hiperplazi, 1 pilorik gland adenomu, 1 müsinöz kistadenom, 1 tubuler adenom, 1 olguda iyi diferansiye papiller adenokarsinom saptanmıştır. Sonuç: Kolesistektomi olgularında polipoid lezyonlarının retrospektif olarak klinik ve histopatolojik analizi yapılmıştır.

Anahtar Kelimeler:

Safra kesesi, polipoid, lezyon, retrospektif, analiz

Polypoid Lesions of Gallbladder: Retrospective Analysis of 99 Cases

Purpose: Polypoid lesions of gallbladder are originated from gallbladder mucosa. In the current study, it has been aimed to evaluate clinically and histopathologically the polypoid lesions of cholecystectomy cases in ten years. Materials and Methods: In our clinic 4479 cholecystectomy cases between June 2004 and June 2014 have been retrospectively investigated for the polypoid lesions clinically and histopathologically. Results: In 4479 cholecystectomy cases, 99 (2.2%) included polypoid lesions. Abdominal pain has been the major symptom. In the histopathologic evaluation, 42 cholesterol polyps, 2 inflamatuar polyps, 2 hyper plastic polyps, 2 intestinal type adenoma, 18 adenomyoma, 29 adenomyomatous hyperplasia 1 pyloric gland adenoma, 1 musınous cyst adenoma, 1 tubular adenoma, 1 well-differentiated papillary adenocarcinoma have been determined. Conclusion: A retrospective analysis has been performed for the polypoid lesions of the cholecystectomy clinically and histopathologically.

Keywords:

Gallbladder, polypoid, lesion, retrospective, analysis,

PDF

___

Yang HL, Sun YG, Wang Z. Polypoid lesions of the gallbladder: diagnosis and indications for surgery. Br J Surg. 1999;79,227-9
Jones-Monahan KS, Gruenberg JC, Finger JE, Tong GK. Isolated small gallbladder polyps: an indication for cholecystectomy in symptomatic patients. Am Surg. 2000;66:716-9.
Myers RP, Shaffere EA, Beck PL. Gallbladder polyps: epidemiology, natural history and management. Can J Gastroenterol. 2002;16:187-94.
Azuma T, Yoshikawa T, Araida T, Takasaki K. Differential diagnosis gallbladder by endoscopic ultrasonography. Am J Surg. 2001;181:65-70.
polypoid lesions of
Csendes A, Burgos AM, Csendes P, Smok Gladys, Rojas J. Late follow-Up of Polypoid Lesions of the Gallbadder Smaller Than 10 mm. Ann Surg. 2001;234:657-60.
Sadamoto Y, Oda S, Tanaka M, Harada N, Kubo H, Eguchi T, Nawata H.A. Useful approach to the differential diagnosis of small polypoid lesions of the gallbladder, utilizing an endoscopic ultrasound scoring system. Endoscopy. 2002;34:959-65.
Baltayiannis N, Gavressea TH, Rizos S. Gallbladder Polyps: Diagnosis and Treatment. Hellenic Journal of Surgery. 2010;82:2.
Collett JA, Allen RB, Chishalm RJ, Wılson IR. 1998
Gallbladder polyp, prospective study. J.Ultrasound Med. 2010;17:207-11.
Ozdemir A, Ozenc A, Bozoklu S, Coskun T.. Ultrosonography in the diagnosis of gallbladder polips. Br J Surg. 1993;80:345.
Shikavar O, Ohhiganhi H, Moha S, Nalazomi A. The difference in malignancy between pedinculated and sesile polypoid lesions of gallbladder. Am J Gastroenterology. 2000;89:386-90.
Mainprize KS, Gould SWT, Gilbert JM.. Surgical management of polypoid lesions of the gallbladder. Br J Surg. 2000;87:414-7.
Terzi C, So kmen S, Seckin S, Albayrak L, Ugurlu M. Polypoid lesions of the gallbladder: Report of 100 cases with special reference to operative indications. Surgery. 2000;124:622-7.