{"id":7395,"date":"2023-09-12T07:16:00","date_gmt":"2023-09-12T10:16:00","guid":{"rendered":"https:\/\/gastropedia.pub\/pt\/?p=7395"},"modified":"2024-04-24T16:01:36","modified_gmt":"2024-04-24T19:01:36","slug":"polipos-de-vesicula-biliar","status":"publish","type":"post","link":"https:\/\/gastropedia.pub\/pt\/cirurgia\/hepatopancreatobiliar\/polipos-de-vesicula-biliar\/","title":{"rendered":"P\u00f3lipos de Ves\u00edcula Biliar"},"content":{"rendered":"<div class=\"pdfprnt-buttons pdfprnt-buttons-post pdfprnt-top-right\"><a href=\"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/posts\/7395?print=pdf\" class=\"pdfprnt-button pdfprnt-button-pdf\" target=\"_blank\" ><img decoding=\"async\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/plugins\/pdf-print\/images\/pdf.png\" alt=\"image_pdf\" title=\"Ver PDF\" \/><\/a><a href=\"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/posts\/7395?print=print\" class=\"pdfprnt-button pdfprnt-button-print\" target=\"_blank\" ><img decoding=\"async\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/plugins\/pdf-print\/images\/print.png\" alt=\"image_print\" title=\"Conte\u00fado de impress\u00e3o\" \/><\/a><\/div>\n<h2 class=\"wp-block-heading\" id=\"h-introducao\"><strong>Introdu\u00e7\u00e3o<\/strong><\/h2>\n\n\n\n<p>Os p\u00f3lipos da ves\u00edcula biliar geralmente s\u00e3o achados incidentais diagnosticados durante exames de ultrassom abdominal ou durante colecistectomia. Geralmente n\u00e3o apresentam sintomas, mas ocasionalmente podem causar desconfortos similares aos causados por c\u00e1lculos biliares. <\/p>\n\n\n\n<p>A maioria dessas les\u00f5es n\u00e3o \u00e9 neopl\u00e1sica, mas sim hiperpl\u00e1sica ou representa dep\u00f3sitos de lip\u00eddios. <\/p>\n\n\n\n<p>Com o uso generalizado da ultrassonografia, as les\u00f5es polipoides na ves\u00edcula biliar est\u00e3o sendo cada vez mais detectadas. No entanto, muitas vezes a imagem n\u00e3o \u00e9 suficiente para excluir a possibilidade de neoplasia ou adenomas pr\u00e9-malignos. Nesse artigo, revisaremos a import\u00e2ncia cl\u00ednica e o diagn\u00f3stico diferencial dos p\u00f3lipos na ves\u00edcula biliar. Para saber sobre o tratamento dos p\u00f3lipos de ves\u00edcula, confira esse outro artigo: <a href=\"https:\/\/gastropedia.pub\/pt\/cirurgia\/conduta-nos-polipos-de-vesicula-biliar-quando-fazer-seguimento-e-quando-indicar-a-colecistectomia\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/gastropedia.pub\/pt\/cirurgia\/conduta-nos-polipos-de-vesicula-biliar-quando-fazer-seguimento-e-quando-indicar-a-colecistectomia<\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-classificacao\"><strong>Classifica\u00e7\u00e3o<\/strong><\/h2>\n\n\n\n<p>As les\u00f5es polipoides na ves\u00edcula biliar podem ser categorizadas como benignas ou malignas. As les\u00f5es benignas podem ser subdivididas em neopl\u00e1sicas e n\u00e3o neopl\u00e1sicas.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-polipos-benignos-nao-neoplasicos\"><strong><em>P\u00f3lipos benignos n\u00e3o neopl\u00e1sicos<\/em><\/strong><\/h3>\n\n\n\n<p>As les\u00f5es n\u00e3o neopl\u00e1sicas benignas mais comuns s\u00e3o p\u00f3lipos de colesterol, seguidos por adenomiomatose e p\u00f3lipos inflamat\u00f3rios.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong><a href=\"https:\/\/gastropedia.pub\/pt\/cirurgia\/hepatopancreatobiliar\/polipos-de-colesterol-e-colesterolose\/\" target=\"_blank\" rel=\"noreferrer noopener\">P\u00f3lipos de colesterol e colesterolose<\/a>:<\/strong>\n<ul class=\"wp-block-list\">\n<li>\u00e9 uma condi\u00e7\u00e3o benigna caracterizada pelo ac\u00famulo de lip\u00eddios na mucosa da parede da ves\u00edcula biliar.<\/li>\n\n\n\n<li>s\u00e3o os tipos mais comuns de p\u00f3lipos da ves\u00edcula biliar, podendo chegar a 10% ou mais.<\/li>\n\n\n\n<li>Pode ser do tipo difuso ou polipoide.<\/li>\n\n\n\n<li>O termo colesterolose se refere ao tipo difuso, que \u00e9 geralmente diagnosticado incidentalmente durante a colecistectomia, causando o aspecto de \u201cves\u00edcula em morango\u201d devido ao contraste que faz com a mucosa da ves\u00edcula.<\/li>\n\n\n\n<li>Os p\u00f3lipos de colesterol s\u00e3o a forma polipoide da colesterolose, sendo o p\u00f3lipo da ves\u00edcula biliar mais comum, geralmente diagnosticado incidentalmente em ultrassonografia.<\/li>\n\n\n\n<li>Embora geralmente assintom\u00e1tico, em alguns pacientes pode causar sintomas e complica\u00e7\u00f5es semelhantes \u00e0s causadas por c\u00e1lculos biliares.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong><a href=\"https:\/\/gastropedia.pub\/pt\/cirurgia\/hepatopancreatobiliar\/adenomiomatose-da-vesicula-biliar\/\">Adenomiomatose<\/a>:<\/strong>\n<ul class=\"wp-block-list\">\n<li>\u00e9 uma anormalidade da ves\u00edcula biliar caracterizada pelo crescimento excessivo da mucosa, espessamento da parede muscular e divert\u00edculos intramurais.<\/li>\n\n\n\n<li>A preval\u00eancia da adenomiose da ves\u00edcula biliar \u00e9 baixa, mas parece ter uma preval\u00eancia maior em mulheres do que em homens.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>P\u00f3lipos inflamat\u00f3rios<\/strong>\n<ul class=\"wp-block-list\">\n<li>Os p\u00f3lipos inflamat\u00f3rios s\u00e3o os p\u00f3lipos n\u00e3o neopl\u00e1sicos menos comuns.<\/li>\n\n\n\n<li>Aparecem como s\u00e9sseis ou pediculados e s\u00e3o compostos por tecido de granula\u00e7\u00e3o e fibroso com c\u00e9lulas plasm\u00e1ticas e linf\u00f3citos.<\/li>\n\n\n\n<li>Os p\u00f3lipos t\u00eam geralmente 5 a 10 mm de di\u00e2metro, embora tenham sido descritos p\u00f3lipos inflamat\u00f3rios com mais de 1 cm<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"611\" height=\"545\" data-id=\"7445\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/adenomiomatose.jpg\" alt=\"Espessamento segmentar hipoecoico no fundo da ves\u00edcula biliar, medindo 11\u00d75mm,sugestivo de adenomiomatose. Imagem cedida pela Dra. Julia Mayumi Gregorio\" class=\"wp-image-7445\" srcset=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/adenomiomatose.jpg?v=1694132004 611w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/adenomiomatose-300x268.jpg?v=1694132004 300w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/adenomiomatose-585x522.jpg?v=1694132004 585w\" sizes=\"(max-width: 611px) 100vw, 611px\" \/><figcaption class=\"wp-element-caption\"><br><em>Espessamento segmentar hipoecoico no fundo da ves\u00edcula biliar, medindo 11\u00d75mm,sugestivo de adenomiomatose. Imagem cedida pela Dra. Julia Mayumi Gregorio<\/em><\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"685\" height=\"517\" data-id=\"7446\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/polipo-de-colesterol.jpg\" alt=\"\" class=\"wp-image-7446\" srcset=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/polipo-de-colesterol.jpg?v=1694132004 685w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/polipo-de-colesterol-300x226.jpg?v=1694132004 300w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/09\/polipo-de-colesterol-585x442.jpg?v=1694132004 585w\" sizes=\"(max-width: 685px) 100vw, 685px\" \/><figcaption class=\"wp-element-caption\"><br><em>Nota-se p\u00f3lipo pediculado, hiperecoico, sem produzir sombra ac\u00fastica, sugestivo de p\u00f3lipo de colesterol. Imagem cedida pela Dra. Julia Mayumi Gregorio<\/em><\/figcaption><\/figure>\n<\/figure>\n\n\n\n<div style=\"height:51px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-polipos-benignos-neoplasicos\"><strong><em>P\u00f3lipos benignos neopl\u00e1sicos<\/em><\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Adenomas:<\/strong>\n<ul class=\"wp-block-list\">\n<li>P\u00f3lipos adenomatosos da ves\u00edcula biliar s\u00e3o as les\u00f5es neopl\u00e1sicas benignas mais comuns. Embora a verdadeira incid\u00eancia seja desconhecida, na maioria das s\u00e9ries \u00e9 inferior a 0,5 por cento.<\/li>\n\n\n\n<li>Adenomas da ves\u00edcula biliar s\u00e3o tumores epiteliais benignos compostos por c\u00e9lulas que se assemelham ao epit\u00e9lio das vias biliares.<\/li>\n\n\n\n<li>O risco de c\u00e2ncer aumenta com o tamanho do p\u00f3lipo, sendo que p\u00f3lipos adenomatosos com tamanho maior t\u00eam um risco de malignidade.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Outros<\/strong> \u2014 Outras les\u00f5es neopl\u00e1sicas da ves\u00edcula biliar como fibromas, lipomas e leiomiomas, s\u00e3o raros. A hist\u00f3ria natural desses p\u00f3lipos n\u00e3o est\u00e1 bem definida.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-polipos-malignos\"><em><strong>P\u00f3lipos malignos:<\/strong><\/em><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A maioria dos p\u00f3lipos malignos na ves\u00edcula biliar s\u00e3o adenocarcinomas.<\/li>\n\n\n\n<li>Os <a href=\"https:\/\/gastropedia.pub\/pt\/cirurgia\/hepatopancreatobiliar\/adenocarcinoma-de-vesicula-biliar-como-proceder-diante-do-diagnostico-inesperado\/\" target=\"_blank\" rel=\"noreferrer noopener\">adenocarcinomas da ves\u00edcula biliar<\/a> s\u00e3o muito mais comuns do que os adenomas da ves\u00edcula biliar, ao contr\u00e1rio do c\u00f3lon, onde os adenomas s\u00e3o muito mais comuns do que os adenocarcinomas.<\/li>\n\n\n\n<li>Carcinoma escamoso, cistoadenoma mucinoso e adenoacantomas da ves\u00edcula biliar s\u00e3o raros<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-risco-de-cancer\"><strong>RISCO DE C\u00c2NCER<\/strong><\/h2>\n\n\n\n<p>A maioria dos p\u00f3lipos na ves\u00edcula biliar \u00e9 benigna, e a maioria dos p\u00f3lipos benignos, com exce\u00e7\u00e3o dos adenomas, n\u00e3o tem potencial maligno. O risco global de c\u00e2ncer de ves\u00edcula biliar em pacientes com p\u00f3lipos na ves\u00edcula parece ser baixo.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Em um grande estudo de coorte com mais de 35.000 adultos com p\u00f3lipos na ves\u00edcula diagnosticados por USG, 0.053% tiveram c\u00e2ncer de ves\u00edcula biliar, semelhante \u00e0 popula\u00e7\u00e3o sem p\u00f3lipos (0.054%). [ref]<\/li>\n\n\n\n<li>O risco de evolu\u00e7\u00e3o para neoplasia varia de acordo como o tamanho dos p\u00f3lipos, ocorrendo em 128\/100.000 pessoas para p\u00f3lipos &gt; 10mm, mas somente em 1.3\/100.000 pessoas para p\u00f3lipos &lt; 6mm.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-fatores-de-risco-estabelecidos-para-cancer\"><strong><em>Fatores de risco estabelecidos para c\u00e2ncer<\/em><\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tamanho do p\u00f3lipo \u2014 A incid\u00eancia de c\u00e2ncer da ves\u00edcula biliar varia de 43 a 77% em p\u00f3lipos maiores que 1 cm e 100% em p\u00f3lipos maiores que 2 cm.<\/li>\n\n\n\n<li>P\u00f3lipo s\u00e9ssil \u2014 p\u00f3lipos s\u00e9sseis s\u00e3o um fator de risco independente para malignidade, com um risco 7x maior de c\u00e2ncer de ves\u00edcula biliar. [ref]<\/li>\n\n\n\n<li>Idade &gt; 60 anos: esse \u00e9 o corte adotado em diretrizes para estratifica\u00e7\u00e3o de risco e orienta\u00e7\u00e3o de tratamento.<\/li>\n\n\n\n<li>Outros: etnia indiana, colangite esclerosante prim\u00e1ria<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-condicoes-com-risco-incerto\"><strong><em>Condi\u00e7\u00f5es com risco incerto<\/em><\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>C\u00e1lculos biliares concomitantes<\/li>\n\n\n\n<li>Adenomiomatose \u2014 N\u00e3o h\u00e1 evid\u00eancias de que a presen\u00e7a de adenomiose aumenta o risco de c\u00e2ncer de ves\u00edcula biliar. Se o risco for aumentado, a magnitude do aumento parece ser pequena.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-diagnostico\"><strong>DIAGN\u00d3STICO<\/strong><\/h2>\n\n\n\n<p>Os p\u00f3lipos na ves\u00edcula biliar geralmente s\u00e3o descobertos incidentalmente em exames de ultrassonografia abdominal. Nenhuma das modalidades de imagem dispon\u00edveis pode distinguir inequivocamente p\u00f3lipos benignos de malignos. Isso s\u00f3 pode ser confirmado pelo anatomopatol\u00f3gico ap\u00f3s a colecistectomia.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-caracteristicas-dos-polipos-da-vesicula-biliar-na-ultrassonografia-abdominal\"><strong>Caracter\u00edsticas dos p\u00f3lipos da ves\u00edcula biliar na ultrassonografia abdominal:<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Podem ser \u00fanicos ou m\u00faltiplos<\/li>\n\n\n\n<li>Sensibilidade 84% e especificidade 96% (meta-an\u00e1lise com 16.260 pacientes)<\/li>\n\n\n\n<li><strong>P\u00d3LIPOS DE COLESTEROL<\/strong> s\u00e3o geralmente m\u00faltiplos, homog\u00eaneos, polipoides e pediculados, com ecogenecidade maior do que o par\u00eanquima hep\u00e1tico.\n<ul class=\"wp-block-list\">\n<li>Eles podem ou n\u00e3o conter pontos hiperecog\u00eanicos.<\/li>\n\n\n\n<li>Os p\u00f3lipos de colesterol geralmente t\u00eam menos de 1 cm.<\/li>\n\n\n\n<li>Em contraste com os p\u00f3lipos de colesterol, a colesterolose difusa n\u00e3o possui achados ultrassonogr\u00e1ficos espec\u00edficos, e seu diagn\u00f3stico geralmente \u00e9 feito ap\u00f3s a cirurgia.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>ADENOMAS<\/strong> s\u00e3o les\u00f5es homog\u00eaneas, isoecoicas em rela\u00e7\u00e3o ao par\u00eanquima hep\u00e1tico, t\u00eam uma superf\u00edcie lisa e <strong>geralmente n\u00e3o t\u00eam ped\u00edculo<\/strong>.\n<ul class=\"wp-block-list\">\n<li>A morfologia <strong>s\u00e9ssil<\/strong> e o <strong>espessamento focal<\/strong> da parede da ves\u00edcula biliar <strong>maior do que 4 mm<\/strong> s\u00e3o fatores de risco para malignidade.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>ADENOCARCINOMAS<\/strong> s\u00e3o estruturas polipoides homog\u00eaneas ou heterog\u00eaneas que geralmente s\u00e3o isoecoicas em rela\u00e7\u00e3o ao par\u00eanquima hep\u00e1tico.<\/li>\n\n\n\n<li>A <strong>ADENOMIOMATOSE <\/strong>tamb\u00e9m pode causar um espessamento difuso com focos anecoicos redondos que representam os divert\u00edculos intramurais. Quando localizada no fundo, a adenomiose pode produzir uma proje\u00e7\u00e3o de mucosa que pode dar a apar\u00eancia de um p\u00f3lipo na ultrassonografia.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-papel-da-ecoendoscopia-eus\"><strong>Papel da ecoendoscopia (EUS)<\/strong><\/h3>\n\n\n\n<p>A EUS \u00e9 um m\u00e9todo de imagem invasivo que pode ser \u00fatil em casos selecionados, especialmente em pacientes com suspeita de p\u00f3lipos malignos. Oferece a vantagem de obter imagens da ves\u00edcula biliar atrav\u00e9s da parede g\u00e1strica, evitando a atenua\u00e7\u00e3o prejudicial pela gordura subcut\u00e2nea ou interfer\u00eancia do g\u00e1s intestinal.<\/p>\n\n\n\n<p>No entanto, sua precis\u00e3o em diferenciar p\u00f3lipos neopl\u00e1sicos de n\u00e3o neopl\u00e1sicos \u00e9 limitada:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Em uma meta-an\u00e1lise de quatro estudos que inclu\u00edram 1009 participantes, a sensibilidade para detec\u00e7\u00e3o de p\u00f3lipos displ\u00e1sicos\/carcinoma foi de 79% e a especificidade foi de 89%.<\/li>\n\n\n\n<li>Embora a Contrast-enhanced EUS (ex: com microbolhas) possa ter uma acur\u00e1cia ligeiramente maior na diferencia\u00e7\u00e3o entre p\u00f3lipos adenomatosos e de colesterol quando comparada \u00e0 EUS convencional, ainda s\u00e3o necess\u00e1rios mais estudos para estabelecer seu papel definitivo.<\/li>\n<\/ul>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-resumo-de-polipos-da-vesicula-biliar\"><em><strong>Resumo de P\u00f3lipos da Ves\u00edcula Biliar<\/strong><\/em> <\/h2>\n\n\n\n<figure class=\"wp-block-table is-style-stripes has-normal-font-size\"><div class=\"pcrstb-wrap\"><table class=\"has-background\" style=\"background-color:#0040662e\"><thead><tr><th><strong>Tipo de P\u00f3lipo<\/strong><\/th><th><strong>Caracter\u00edsticas Principais<\/strong><\/th><th><strong>Preval\u00eancia e Incid\u00eancia<\/strong><\/th><th><strong>Achados Ultrassonogr\u00e1ficos<\/strong><\/th><th><strong>Risco de Malignidade<\/strong><\/th><th><strong>Sintomas e Complica\u00e7\u00f5es<\/strong><\/th><\/tr><\/thead><tbody><tr><td><br><strong>P\u00f3lipos Benignos N\u00e3o Neopl\u00e1sicos<\/strong><\/td><td><\/td><td><\/td><td><\/td><td><\/td><td><\/td><\/tr><tr><td><br>Colesterolose Difusa<\/td><td><br><br>Ac\u00famulo de lip\u00eddios na mucosa da ves\u00edcula biliar.<\/td><td><br>Preval\u00eancia de 9% a 26% em estudos cir\u00fargicos.<\/td><td><br><br>N\u00e3o apresenta achados ultrassonogr\u00e1ficos espec\u00edficos.<\/td><td><br>Geralmente baixo.<\/td><td>Geralmente assintom\u00e1tica<\/td><\/tr><tr><td><br>P\u00f3lipos de Colesterol<\/td><td><br>Crescimentos benignos na mucosa da ves\u00edcula biliar.<\/td><td><br>Tipicamente diagnosticados por ultrassonografia. Prevalencia estimada &gt;10%<\/td><td><br>M\u00faltiplos, homog\u00eaneos, polipoides, mais ecog\u00eanicos que o f\u00edgado.<\/td><td><br>Baixo.<\/td><td><br>Geralmente assintom\u00e1tica. Podem ter complica\u00e7\u00f5es semelhantes a c\u00e1lculos<\/td><\/tr><tr><td><br>P\u00f3lipos Inflamat\u00f3rios<\/td><td><br>Compostos por tecido de granula\u00e7\u00e3o e fibroso.<\/td><td><br>Menos comuns entre os p\u00f3lipos n\u00e3o neopl\u00e1sicos.<\/td><td><br>S\u00e9sseis ou pediculados, geralmente 5 a 10 mm<\/td><td><br>Baixo.<\/td><td><br>Varia de acordo com tamanho<\/td><\/tr><tr><td><br><strong>P\u00f3lipos Benignos Neopl\u00e1sicos<\/strong><\/td><td><\/td><td><\/td><td><\/td><td><\/td><td><\/td><\/tr><tr><td><br>Adenomas<\/td><td><br>Tumores epiteliais benignos mais comuns.<\/td><td><br>Menos de 0,5% de incid\u00eancia.<\/td><td><br><br>Isoecog\u00eanicos, liso, sem ped\u00edculo.<\/td><td><br>Vari\u00e1vel, aumenta com tamanho &gt;10mm.<\/td><td><br>Raramente sintom\u00e1ticos<\/td><\/tr><tr><td><br><strong>P\u00f3lipos Malignos<\/strong><\/td><td><\/td><td><\/td><td><\/td><td><\/td><td><\/td><\/tr><tr><td><br>Adenocarcinomas<\/td><td><br>Forma mais comum de p\u00f3lipos malignos.<\/td><td><br>Incid\u00eancia mais alta que adenomas malignos.<\/td><td><br>Caracter\u00edsticas avan\u00e7adas, geralmente diagnosticados tardiamente.<\/td><td><br>Alto.<\/td><td><br>Sintomas avan\u00e7ados e complica\u00e7\u00f5es<\/td><\/tr><tr><td><br>Carcinomas de C\u00e9lulas Escamosas, Cistadenomas Mucinosos e Adenoacantomas<\/td><td><br>Tipos raros de p\u00f3lipos malignos.<\/td><td><br>Incid\u00eancia baixa.<\/td><td><br>Caracter\u00edsticas avan\u00e7adas, exige avalia\u00e7\u00e3o e tratamento especializados.<\/td><td><br>Alto.<\/td><td><br>Sintomas avan\u00e7ados e complica\u00e7\u00f5es<\/td><\/tr><\/tbody><\/table><\/div><\/figure>\n\n\n\n<div style=\"height:49px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-referencias\">Refer\u00eancias<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Szpakowski JL, Tucker LY. Outcomes of Gallbladder Polyps and Their Association With Gallbladder Cancer in a 20-Year Cohort. JAMA Netw Open. 2020 May 1;3(5):e205143. doi: 10.1001\/jamanetworkopen.2020.5143. PMID: 32421183; PMCID: PMC7235691.<\/li>\n\n\n\n<li>Bhatt NR, Gillis A, Smoothey CO, Awan FN, Ridgway PF. Evidence based management of polyps of the gall bladder: A systematic review of the risk factors of malignancy. Surgeon. 2016 Oct;14(5):278-86. doi: 10.1016\/j.surge.2015.12.001. Epub 2016 Jan 26. PMID: 26825588.<\/li>\n\n\n\n<li>Foley KG, Lahaye MJ, Thoeni RF, Soltes M, Dewhurst C, Barbu ST, Vashist YK, Rafaelsen SR, Arvanitakis M, Perinel J, Wiles R, Roberts SA. Management and follow-up of gallbladder polyps: updated joint guidelines between the ESGAR, EAES, EFISDS and ESGE. Eur Radiol. 2022 May;32(5):3358-3368. doi: 10.1007\/s00330-021-08384-w. Epub 2021 Dec 17. PMID: 34918177; PMCID: PMC9038818.<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-como-citar-este-artigo\">Como citar este artigo<\/h2>\n\n\n\n<p class=\"has-background\" style=\"background-color:#c3ced9\">Martins BC. P\u00f3lipos de Ves\u00edcula Biliar Gastropedia 2023; vol 2. Dispon\u00edvel em: <a href=\"https:\/\/gastropedia.pub\/pt\/?p=7395\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/gastropedia.pub\/pt\/cirurgia\/hepatopancreatobiliar\/polipos-de-vesicula-biliar<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Introdu\u00e7\u00e3o Os p\u00f3lipos da ves\u00edcula biliar geralmente s\u00e3o achados incidentais diagnosticados durante exames de ultrassom abdominal ou durante colecistectomia. Geralmente n\u00e3o apresentam sintomas, mas ocasionalmente podem causar desconfortos similares aos&hellip;<\/p>\n","protected":false},"author":722,"featured_media":7446,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[24,28],"tags":[195,380,378],"ano":[137],"tipo":[121],"volume":[44],"class_list":["post-7395","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cirurgia","category-hepatopancreatobiliar","tag-cancer-de-vesicula","tag-polipo-de-vesicula","tag-polipos-de-vesicula","ano-137","tipo-assuntos-gerais","volume-volume-ii"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>P\u00f3lipos de Ves\u00edcula Biliar - Gastropedia<\/title>\n<meta name=\"description\" content=\"Os p\u00f3lipos de ves\u00edcula biliar geralmente s\u00e3o achados incidentais durante exames de ultrassom. 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