Incidental Gallbladder Polyp: What Does Size Say About Next Steps?

No gallstones were found on RUQ ultrasound in this 45-year-old patient, but a polyp was seen. How would you proceed?

A 45-year-old woman presents with abdominal pain in the right upper quadrant (RUQ) that is unrelated to meals. She undergoes a RUQ ultrasound which does not reveal any gallstones, but incidentally notes a 2.5-cm polyp in the gallbladder.

Which of the following would you recommend for her?

A. Cholycystectomy
B. Ursodilol
C. Endoscopic retrograde cholangiopancreatography
D. Hepatobiliary iminodiacetic acid scan
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