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 54
- Downloads 0
Histomorphologic Spectrum of Pediatric Brain Tumours: Three Year Retrospective Study
Histomorphological study of pediatric brain tumours in children upto fourteen years was done in tertiary care centre for a period of three years. Supratentorial region was most common site. Astrocytoma was the most commo...
Histomorphological Spectrum of Uterine Lesions in Patients Presenting with Abnormal Uterine Bleeding: Experience from a Tertiary Care Centre in Rural Haryana
Introduction: Abnormal uterine bleeding is the most common presenting complaint among women of all age groups attending the gynaecology out patient department. Abnormal uterine bleeding is a term used to describe any typ...
Lycopodiumclavatum and Conium Maculatum effect on Hearts of Mice Infected with Trypanosomacruzi
Chagas disease is a potentially fatal condition that presents high capacity to infect cardiac muscle cells and frequently evolves to dilated cardiomyopathy and congestive heart failure. The treatments available nowadays...
Evaluation of Red Cell Distribution Width (RDW) Parameter in the Diagnosis of Erythrocyte Disorders
Context: The initial classification of anemia can be improved substantially by including RDW and histograms of the red cell volume as these variable become part of the routine blood counts. Aims: To evaluate the effectiv...
Thyroid Profile Analysis and Cytomorphology of various Thyroid Diseases: A Case Series Study at a Tertiary Care Hospital
Background: Thyroid lesions are most commonly encountered in all age groups. Accurate pre-operative assessment of thyroid diseases leads to improved patient outcome. Objective: To describe the cytomorphological features...