The Bethesda System for Reporting Thyroid Cytopathology
Journal Title: Journal of Medical Science And clinical Research - Year 2014, Vol 2, Issue 12
Abstract
Background - FNAC has become the most prominent, and the easiest way, to morphologically evaluate lesions of the thyroid and may be the procedure of choice in the preoperative evaluation of thyroid nodules. In the past, ambiguous and inconsistent diagnostic criteria and terminology have hampered sample interpretation and patient management. The TBSRTC will have effect in transforming, unifying, and improving the reporting of thyroid FNA results Aims – The aim of our study to evolve uniform reporting system for thyroid cytopathology, facilitate effective cytological & histological correlation, reduce the unnecessary surgical management of thyroid lesions, which can easily be treated medically. Materials and Methods – FNAC was performed on two hundred patients diagnosed with thyroid lesion during a period of two years (2010-2012). The smears were prepared, stained by May-Grunewald-Giemsa stain and reported according to Bethesda system reporting of thyroid lesions. The cytological diagnosis was compared with histopathological diagnosis, wherever possible to find out the diagnostic accuracy. Results - The statistical analysis in the present study revealed sensitivity of 95.24 percent, specificity of 78.72 percent, positive predictive value of 66.66 percent, negative predictive value of 97.37 percent and diagnostic accuracy of 83.82 percent. Sensitivity and specificity of pre-Bethesda reporting system was 75 percent and 97.95 percent respectively. Positive predictive value was 85.71 percent, negative predictive value was 95.92 percent and diagnostic accuracy was 94.64 percent. Conclusion - After analyzing the results of the present study, it was concluded that the Bethesda System for Reporting Thyroid Cytopathology represents a reliable and valid reporting system for thyroid cytology
Authors and Affiliations
Dr Dharmendra Kumar
Keywords
Related Articles
- EP ID EP208048
- DOI -
- Views 81
- Downloads 0
Evaluation of Multiple Choice Questions by Item Analysis in a Medical College- A Pilot Study
Introduction: Assessment is an integral part of any learning and training. Multiple choice questions (MCQs) are a widely used tool in assessment protocols. To increase the validity of MCQs standard prevalidation and post...
An Overview of Recurrent Renal Calculi and Its Management
Introduction: Renal calculi are one of the most painful, commonest urological diseases. Life-time risk due to renal calculi is approximately 12% in men and 6% in women. Recurrence rate is reported as 50 % at 5 years, 80-...
Cutaneous manifestations in patients with diabetes mellitus in a tertiary care hospital at Bihar, India: An Observational Study
Background: Almost all diabetic patients eventually develop skin complications from the long-term effects of diabetes mellitus on the microcirculation and on skin collagen. Cutaneous infections are more common in type 2...
To study the indication of operative delivery at Tertiary Care Centre of Central India
Backgorund: The study was conducted in the Department of Obstetrics and Gynecology, during one and half year (from January 2016 to June 2017). Biochemical examinations and Ultrasound studies were done in the respective d...
Clinical Presentation of Neck Space Abscess and its Management in a Rural Based Tertiary Care Centre
Objective: The aim of this study is to evaluate patients of neck abscess in respect to its common presentation, predisposing factors, co-morbidity, frequently involved area and treatment modality needed. Study Design: It...