Implementation of Bethesda system for reporting thyroid cytology in an academic institution: A 2 year retrospective study
Journal Title: IP Journal of Diagnostic Pathology and Oncology - Year 2018, Vol 3, Issue 2
Abstract
Thyroid diseases are the most common endocrine diseases in India Both benign and malignant diseases present as thyroid nodules Fine needle aspiration cytology FNAC has proven to be one of the most effective tools for evaluation of thyroid nodules Interpretation of FNAC has been standardized by the Bethesda system for reporting thyroid cytopathology TBSRTCAim To categorize all the thyroid lesions utilizing TBSRTC in an academic institution for a duration of 2 years and find its histopathological correlationMaterials and Methods A 2 year retrospective study included all 229 patients who underwent thyroid FNAC in the institution All the clinical and relevant radiological investigations were retrieved from hospital information system All Papanicolaou and May Grunwald Giemsa stained smears were categorized under TBSRTC in to 6 categoriesResults Maximum number of cases were between the age group of 3145yr Male Female ratio in our study was 113 There were 12 cases 52 under Unsatisfactorynon diagnostic category 196855 cases belonged to benign category 1 case 004 of Atypia of undetermined significancefollicular lesion of undetermined significance10 cases 43 belonged to follicular suspicious for follicular neoplasm4 cases 17 belonged to suspicious for malignancy amp 6 26 belonged to Malignant category Cyto histopathology discrepancy rate was 714Conclusions TBSRTC brings about uniformity in reporting of thyroid cytology thereby helping in better patient management and avoiding unwanted surgeriesKeywords Bethesda system Fine needle aspiration cytology Follicular neoplasm Malignant Reporting Thyroid
Authors and Affiliations
Sily Sreedharan, Deeshma T, Fatima Shamsuddin, Chris Thomas, Shobhitha D
Keywords
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- EP ID EP482769
- DOI 10.18231/2581-3706.2018.0027
- Views 118
- Downloads 0
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