The Bethesda System for Reporting Thyroid Cytopathology with Histological Correlation
Journal Title: Indian Journal of Pathology: Research and Practice - Year 2017, Vol 6, Issue 1
Abstract
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. Objective of the study is to classify the cytological features of different thyroid lesions according to TBSRTC and compare them with histopathology wherever possible and to determine the diagnostic accuracy. Materials and Methods: A prospective fine needle aspiration (FNA) study is conducted in the department of pathology VIMS Ballari on all cases of thyroid lesions between January 2015 and June 2016. The smears are classified using the Bethesda system and distribution in each category is done. The malignancy risk for each category is calculated by follow up histopathology wherever possible. Results: Of the 300 FNA of thyroid swelling 10.66% were nondiagnostic, 77% were benign, 5.6% were atypical follicular lesions of undetermined significance(AFLUS), 4% were suspicious for follicular neoplasms, 1.33% were suspicious for malignancy and 1.33% were malignant. Follow up histopathological examination(HPE) are available in 70 cases. The distribution of malignancy risk rates in various Bethesda category were 11.11% in nondiagnostic, 2.08% in benign. 66.67% in atypical FLUS, 0% in follicular neoplasms, 100% in suspicious of malignancy and 100% in malignant category. Conclusion: The implementation of TBSTRC which stands for a unique, international and a universal terminology for the reporting of the thyroid cytology should be encouraged because of its relative ease of reproducibility. The classification is directly related to the risk of malignancy in each category which in turn prompts the recommended clinical management of that category.
Authors and Affiliations
Jayasree K.
Keywords
Related Articles
- EP ID EP462235
- DOI 10.21088/ijprp.2278.148X.6117.18
- Views 76
- Downloads 0
Rainbows of Ovarian Lesions in Department of Pathology in a Tertiary Care Hospital
Background: Histopathological examination remains the gold standard for diagnosis of ovarian tumours. Morphological diversity of ovarian tumours poses many challenges in diagnosis. It is important to have knowledge regar...
Peripheral Smear, an Important Diagnostic Tool in the Diagnosis and Monitoring of Disease Activity in Dengue Fever, in Resource Limited Settings
Background: Dengue fever is the most common arbovirus infection in the world. Clinical manifestation range from fever to dengue shock syndrome (DSS). Clinical diagnosis can be difficult, as its presenting signs and sympt...
Novel Technique for Rapid Screening of Malarial Parasite by Toluidine Blue Staining
Introduction: Malaria is a tropical disease causing millions of death worldwide. Early detection and management prevents complications and mortality. Definitive diagnosis depends on demonstration of malaria in blood smea...
Spectrum of Cervical Lesions Detected by Pap Smear: An Experience from a Rural-Based Tertiary Care Teaching Hospital
Background: Routine screening test like Pap smear test can detect early changes in the cervical epithelial cells, thereby facilitating the appropriate management of the disease. The present study investigates the distrib...
Analysis of Papulosquamous Skin Disorders in Skin Biopsies: A Clinico Histopathological Study
Background: Papulosquamous disorders assume considerable importance because of their frequency of occurrence. As all the lesions are characterized by scaling papules and plaques, clinical confusion may occur in their dia...