The Bethesda System for Reporting Thyroid Cytopathology: Proposed Modifications and Updates for the Second Edition from an International Panel

被引：92

作者：

Pusztaszeri, Marc ^{[1
]}

Rossi, Esther Diana ^{[2
]}

Auger, Manon ^{[3
,4
]}

Baloch, Zubair ^{[5
]}

Bishop, Justin ^{[6
]}

Bongiovanni, Massimo ^{[7
]}

Chandra, Ashish ^{[8
]}

Cochand-Priollet, Beatrix ^{[9
]}

Faddda, Guido ^{[2
]}

Hirokawa, Mitsuyoshi ^{[10
]}

Hong, SoonWon ^{[11
]}

Kakudo, Kennichi ^{[12
]}

Krane, Jeffrey F. ^{[13
,14
]}

Nayar, Ritu ^{[15
,16
]}

Parangi, Sareh ^{[14
,17
]}

Schmitt, Fernando ^{[18
]}

Faquin, William C. ^{[14
,19
]}

机构：

[1] Univ Hosp Geneva, Dept Pathol, Geneva, Switzerland

[2] Univ Cattolica Sacro Cuore, Agostino Gemelli Sch Med, Div Anat Pathol & Histol, Rome, Italy

[3] McGill Univ, Dept Pathol, Montreal, PQ, Canada

[4] McGill Univ, Ctr Hlth, Montreal, PQ, Canada

[5] Hosp Univ Penn, Perelman Sch Med, Dept Pathol & Lab Med, Philadelphia, PA 19104 USA

[6] Johns Hopkins Sch Med, Dept Pathol, Baltimore, MD USA

[7] CHU Vaudois, Inst Pathol, Lausanne, Switzerland

[8] Guys & St Thomas NHS Fdn Trust, Dept Cellular Pathol, London, England

[9] Cochin Hosp, Dept Pathol, Paris, France

[10] Kuma Hosp, Dept Diagnost Pathol, Kobe, Hyogo, Japan

[11] Yonsei Univ, Gang Nam Severance Hosp, Dept Pathol, Seoul, South Korea

[12] Kinki Univ, Fac Med, Nara Hosp, Dept Pathol, Nara, Japan

[13] Brigham & Womens Hosp, Dept Pathol, Boston, MA 02115 USA

[14] Harvard Med Sch, Boston, MA USA

[15] Northwestern Univ, Feinberg Sch Med, Dept Pathol, Chicago, IL 60611 USA

[16] Northwestern Med, Chicago, IL USA

[17] Massachusetts Gen Hosp, Dept Surg, Boston, MA 02114 USA

[18] Lab Natl Sante, Dept Med, Dudelange, Luxembourg

[19] Massachusetts Gen Hosp, Dept Pathol, Boston, MA USA

来源：

ACTA CYTOLOGICA | 2016年 / 60卷 / 05期

关键词：

Bethesda system; Thyroid lesion; Classification systems; Diagnostic categories; NIFTP;

D O I：

10.1159/000451020

中图分类号：

R36 [病理学];

学科分类号：

100104 ;

摘要：

The Bethesda System for Reporting Thyroid Cytology (TBSRTC) was proposed in 2007 at the National Cancer Institute Thyroid Fine Needle Aspiration State of the Art and Science Conference held in Bethesda, Maryland. The aim was to address the inconsistent and sometimes confusing reporting terminologies used for thyroid FNA throughout the world. The TBSRTC consists of 6 diagnostic categories, each associated with an implied risk of malignancy that translates directly into a clinical management algorithm. Since the publication of the TBSRTC cytology Atlas in January 2010, considerable experience has been gained regarding its application in cytology practice, clinical impact, and limitations. In conjunction with the International Academy of Cytology (IAC), an international panel composed of sixteen cytopathologists and an endocrinologist with special interest in thyroid cytology, including several co-authors of the 2010 TBSRTC Atlas, was created to: ( 1) analyze the current worldwide impact of TBSRTC, ( 2) report on the current state of TBSRTC based upon a review of the published literature, and ( 3) provide possible recommendations for a future update of TBSRTC. Herein, we summarize the panel's deliberations and key recommendations that our panel hopes will be useful during the preparation of the second edition of TBSRTC. (C) 2016 S. Karger AG, Basel.

引用

页码：399 / 405

页数：7

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