GI Section IV: GB Pathology Part 4: Time of Contempt

Question 1

Porcellain Gallbladder

Answer 1

• Extensive wall calcification.
• The key point is increased risk o f GB Cancer.
• These are surgically removed.

Question 2

Tytpes of GB polyps

Answer 2

Cholesterol (most common)

Non-cholesterol (adenomas, papillomas)

Question 3

Benign vs Malignant Polyps

< 5mm *these are nearly always cholesterol polyps

Answer 3

Benign

Question 4

> 1cm
♦between 5mm-10mm usually get followed for growth

Answer 4

Malignant

Question 5

Pedunculated

Answer 5

Benign

Question 6

Sessile

Answer 6

Malignant

Question 7

Multiple

Answer 7

Benign

Question 8

Solitary

Answer 8

Malignant

Question 9

Comet Tail Artifact on Ultrasound (seen in cholesterol polyps)

Answer 9

Benign

Question 10

Enhancement on CT/ MRl greater than the adjacent gallbladder wall.

Flow on Doppler.

Answer 10

Malignant

Question 11

Classic scenario in GB CA

Answer 11

Elderly woman + RUQ pain + Wt loss + anorexia + GB stone + PSC or large GB polyps

Question 12

Most GB CA are associated with what?

Answer 12

Gallstones (85%)

Question 13

Patients with this have 5x risk of having GB CA

Answer 13

Mirizzi Syndrome

Question 14

How to GB CA present?

Answer 14

Late, unless its in the fundus (obstruction)

80% are found with tumor invasion in the LIVER and poratl NODES at the time of Dx