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 85
- Downloads 0
Choice of place of Delivery amongst Women in a Rural Community in northeastern Nigeria
Background: Maternal mortality remains as high as 567 deaths per thousand live births in Nigeria and 1, 549 deaths per 100,000 live birthsin the Northern regions of the country. Despite overwhelming evidence that materna...
ImmunoComb II Test in Detection of HCV Antibodies in Oral Fluid
Objectives: a suitable, affordable, rapid and accurate test for HCV may be helpful in various clinical settings. The aim of the work is to evaluate the sensitivity, specificity and accuracy of ImmunoComb II HCV test in d...
A Rare Case of Duodenal Somatostatinoma
Somatostatinomas are the rarest of pancreatic tumours and can arise in pancreas and duodenum.Duodenal somatostatinomas are less common and are distinguished from their pancreatic counterparts by a frequent association wi...
Anaesthetic Management with Segmental Epidural for Indirect Inguinal Hernia in a Patient with Mitral Valve Prolapse
Segmental Epidural anaesthesia is suitable for inguinal hernias. It has some definite advantages over spinal anaesthesia. The segmental epidural block denotes the use of a small volume enough to block only the segments i...
Effects of neonatal Thyroid Stimulating hormone and free T4 levels on Apgar score, Maturity and Modes of delivery
Thyroid disorders are four to five folds more common in women particularly during child bearing period. Cord blood is a source for the determination of thyroid related hormones in neonates. To find the effect of TSH and...