Which of the following gallbladder findings on ultrasound carries the strongest indication for cholecystectomy because of its association with gallbladder carcinoma?
- A A 5 mm non-mobile echogenic focus without shadowing
- B Diffuse calcification of the gallbladder wall ✓
- C Multiple mobile stones with a thin wall
- D A 3 mm pedunculated polyp
Correct answer: B. Diffuse calcification of the gallbladder wall
Explanation
Porcelain gallbladder, diffuse intramural calcification, has historically been linked to gallbladder carcinoma and remains an accepted indication for cholecystectomy, although modern series show the risk is lower than the older figure of about 20 percent. A 5 mm fixed echogenic focus suggests an early polyp warranting follow-up, while stones with a thin wall and a sub-centimetre pedunculated polyp are managed expectantly.
Reference: Sabiston Textbook of Surgery, 21st ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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