Recommendation for Modification in the Bethesda System for Reporting of Thyroid Cytopathology: A Study in a Tertiary Care Hospital
Journal Title: Indian Journal of Pathology: Research and Practice - Year 2017, Vol 6, Issue 4
Abstract
Introduction: Thyroid is the endocrine organ situated in the midline of the neck.Its pathology varies from nutritional disorders like multinodular goiter to high grade malignancy like anaplastic carcinoma. Since the thyroid is superficially located and easily palpable, Fine needle aspiration cytology (FNAC) becomes the most common modality of investigation done for diagnosing thyroid lesions. The Bethesda system for reporting of thyroid cytology is most commonly used method for reporting FNAC of thyroid. Material and methods: It includes 100 cases of thyroid lesions. Results: All cases on FNAC reported as category II according to Bethesda system. On biopsy, all show features of multinodular goiter. Discussion: Category II should be sub categorized into IIA, IIB, IIC accordingly for Nodular, Lymphocytic thyroiditis and others respectively, as they have different pathogenesis, diagnostic modality and treatment protocol. Conclusion: Subcategorisation helps the clinicians to have distinct and well defined work up protocol for early diagnosis and treatment.
Authors and Affiliations
Satish Arakeri
Keywords
Related Articles
- EP ID EP471098
- DOI 10.21088/ijprp.2278.148X.6417.16
- Views 52
- Downloads 0
The Bethesda System for Reporting Thyroid Cytopathology with Histological Correlation
Background and Objectives: The Bethesda system for reporting thyroid cytopathology (TBSRTC) is a standard method for analyzing thyroid smears, there by communicating clear and relevant information to the clinician. Objec...
Endometrial Cyst of Pancreas
Endometriosis is a benign condition characterized by the presence of endometrial tissue outside the endometrial cavity. It is usually confined to the pelvis and reproductive organs, but has been described in the omentum,...
ABO and Rhesus Blood Group Distribution among Blood Donors from Rural based Medical College & Hospital at Warudi, Jalna (Maharashtra) India
Background: The red blood cell surface has a system of antigens on them which constitute the Blood group system. Blood Group is an inherited trait in Mendelian fashion; there are 33 well defined blood group systems. But...
Histopathological Patterns in Abnormal Uterine Bleeding at a Tertiary Hospital
Background: Abnormal uterine bleeding (AUB) is related with patient’s social,familial and personal life because of the considerable morbidity it causes. The aim of the study was to examine the histopathological patterns...
P53 Staining Pattern in Benign, Premalignant and Malignant Oral Lesions
Introduction: Recent advance in the field of tumour suppressor genes and oncogenes have provided the tool for the study the genetic changes occurring at different stages of carcinogenesis including transition from premal...