The Bethesda System for Reporting Thyroid Cytopathology: Interpretation and Guidelines in Surgical Treatment

被引:25
作者
Renuka, I. V. [1 ]
Bala, G. Saila [1 ]
Aparna, C. [1 ]
Kumari, Ramana [1 ]
Sumalatha, K. [1 ]
机构
[1] Guntur Med Coll, Dept Pathol, Guntur 522004, Andhra Pradesh, India
关键词
Thyroid; Cytology; Fine-needle aspiration; Terminology; FINE-NEEDLE-ASPIRATION; CARCINOMA; DIAGNOSIS; CYTOLOGY; NODULES;
D O I
10.1007/s12070-011-0289-4
中图分类号
R61 [外科手术学];
学科分类号
摘要
Objectives: (1) The aim of this study is to assess the efficacy of The Bethesda System for Reporting Thyroid Cytology (TBSRTC) in accurate prediction of thyroid lesions on fine needle aspiration (FNA). (2) To appraise the surgeon with guidelines for adequacy of samples, and interpretation of FNA reports with TBSRTC and hence aiding them in surgical decision making. Five hundred and sixty four FNAs were done on patients with thyroid swellings in the department of Pathology and reported using TBSRTC guidelines. In cases where surgery was done, histopathological report was correlated. Using TBSRTC the commonest cytological diagnosis was benign-Hashimotos thyroiditis followed by benign follicular nodule. TBSTRC reduces inter-observer variability in reporting thyroid FNAs and provides good communication between the surgeon and pathologist. It also implicates guidelines for cancer risk and clinical management to the surgeons, thus avoiding unnecessary surgery.
引用
收藏
页码:305 / 311
页数:7
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