A 68 yr old man is diagnosed with colon cancer during a routine screening. He gets an abdominal CT scan to check for metastasis. No metastatic lesions are found but the gallbladder has significant intramural calcification. The calcified walls are thickened though there is no pericholecystitic fluid present. There's no history of abdominal pain and the man report feeling healthy. In addition to surgical resection of colon cancer, which is the most appropriate treatment for the calcified gallbladder?
A. Prophylactic open cholecystectomy
B. Medical treatment with ursodeoxycholic acid
C. Repeat CT scans at 6 months and 1 yr
D. Reassurance that the finding is inconsequential
Answer:A
A 68 yr old man is diagnosed with colon cancer during a routine screening. He gets an abdominal CT scan to check for metastasis. No metastatic lesions are found but the gallbladder has significant intramural calcification. The calcified walls are thickened though there is no pericholecystitic fluid present. There's no history of abdominal pain and the man report feeling healthy. In addition to surgical resection of colon cancer, which is the most appropriate treatment for the calcified gallbladder?
A. Prophylactic open cholecystectomy B. Medical treatment with ursodeoxycholic acid C. Repeat CT scans at 6 months and 1 yr D. Reassurance that the finding is inconsequential