Cytopathological Evaluation of Various Thyroid Lesions Based on Conventional Method and Bethesda System for Reporting in a Tertiary Care Hospital
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 1
Abstract
Aim and Objectives: To see the conventional and the Bethesda system for reporting thyroid cytopathology (TBSRTC), TBSRTC has standardized our diagnostic approach to cytomorphological criteria and reporting. Material and Methods: A Total of 258 patients who presented with thyroid gland swelling were subjected to thyroid fine needle aspiration cytology (FNAC) and the smears were made followed by MGG staining and H&E staining with reporting was done. The conventional system used at our centre includes description of microscopic findings of the case along with an impression at the end and also classified according to the Bethesda system, found out the distribution of cases in each category, analysed the risk of malignancy in each category by the histological diagnosis wherever it was available and compared with other studies. Results: Distribution of various categories from 258 FNAC of thyroid lesion was as follows: 1.2 % non-diagnostic, 94.2% benign, 1.9% atypia of undetermined significance (AUS/FLUS), 0.4% suspicious for follicular neoplasm, 0.4% suspicious for malignancy and 1.9% malignant. When the results of the conventional system were compared with the Bethesda adapted method was found to be more superior. Conclusion: TBSRTC is an excellent reporting system in thyroid FNAC. It provides clear management guidelines to doctor to go for follow-up FNAC or surgery and the extent the surgery.
Authors and Affiliations
Sandeep Kumar Singh, Faiyaz Ahmad, Seema Awasthi, Shyamoli Dutta, Himanshu Joshi
Keywords
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- EP ID EP530002
- DOI 10.21276/ijmrp.2018.4.1.056
- Views 94
- Downloads 0
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