Comparative Study of Reporting Fine Needle Aspiration Cytology of Thyroid Lesions by Conventional and Bethesda System
Journal Title: Indian Journal of Pathology: Research and Practice - Year 2018, Vol 7, Issue 1
Abstract
Background: Thyroid lesions are common, presenting mostly as enlargement of thyroid gland. Fine needle aspiration cytology (FNAC) of the thyroid is an easy procedure providing rapid and accurate diagnosis. Terminology for reporting has varied amongst pathologists. Bethesda system provides guidelines for cytological reporting category and management. Aim: To classify the thyroid lesions according to Bethesda system for reporting thyroid cytology, compare with conventional system and correlate cytological diagnosis Material and Methods: A prospective study was conducted over a period of 2 years on 202 consecutive patients. FNAC of thyroid gland was done and smears prepared.Smears were reviewed and cytological reporting was done according to both conventional and Bethesda systems. Result: Most of the patients were females (177, 87.6%) with a mean age of 37.4 years. 4.0% were non diagnostic, 91.1% were benign, 1.5% were atypia/follicular lesion of undetermined significance, 1.0% were suspicious for follicular neoplasm/ follicular neoplasm and 2.4% were malignant. Radiological findings were available in 100cases and showed diagnostic deviation in 2 cases with cytological findings. Histopathological correlation was present in 16 cases and revealed minor deviation in one case. Conclusion: The Bethesda System for Thyroid Cytology is a useful method in reporting different thyroid lesions. In our study a definite interpretation for lesions in category I and III was provided by following specific criteria. Standardising the reporting methodology increases the reproducibility of diagnosis.
Authors and Affiliations
Chadhry Malika
Keywords
Related Articles
- EP ID EP512056
- DOI 10.21088/ijprp.2278.148X.7118.9
- Views 68
- Downloads 0
A Retrospective Study of Histomorphological Patterns of the Cutaneous Granulomatous Lesions in 45 Cases with Review of Literature
Background: Cutaneous Granulomatous lesions comprises a heterogeneous group of diseases caused by the variety of infectious and non-infectious etiological factors and thus often poses a diagnostic challenge to histopatho...
Impact of Haematology Laboratory Accreditation on Patient Care and Health System: Our Experience
Introduction: 70% of clinical decision making is predicted upon, or confirmed by, or documented by medical laboratory test results. Accurate laboratory services are required for diagnosis, to identify causative factors,...
Critical Evaluation of Haematological Parameters Before and After Transfusion of Packed Red Cells
Context: Anaemia is defined as reduction below normal limits of the total circulating red cell mass. It is measured by the reduction in packed red cell volume or reduction in haemoglobin concentration of blood. Blood tra...
Spectrum of Benign Breast Disease at a Tertiary Hospital North Karnataka Region: Five Year Study
Background: Breast masses cause more anxiety for the patients. This study was undertaken to know the spectrum of benign breast lesions with their age of occurrence. Benign breast lesions are more common than the malignan...
A Study of Histopathological Analysis of Endometrium in Abnormal Uterine Bleeding in a Tertiary Care Centre
Context: Abnormal uterine bleeding (AUB) is an important clinical entity in females. Aims: The objective of the study was to study the histopathological (HPE) features of endometrium and to correlate its incidence with a...