The Bethesda system for reporting thyroid FNAC: A cytohistological correlation in a newly established institute
Journal Title: Indian Journal of Pathology and Oncology - Year 2018, Vol 5, Issue 4
Abstract
Introduction FNAC is an excellent modality for diagnosis of thyroid lesions because of its simplicity and cost effectiveness Since the introduction of The Bethesda System for Reporting Thyroid Cytopathology TBSRTC in 2007 it has become a standardized convenient and more informative system of thyroid reportingAims 1 To study cytological features of FNAC and categorization according to TBSRTC 2 To assess statistical analysis of FNAC in detecting malignant lesionsSettings and Design This is a crosssectional study carried out in the Pathology Department from January 2015 to December 2017Materials and Methods We interpreted 329 thyroid FNAC and categorized them according to TBSRTC 75 cases are correlated histologicallyStatistical Analysis Accuracy specificity sensitivity and predictive valuesResult Distribution of different categories are as follows Nondiagnosticunsatisfactory NDUNS85 Benign852 Atypia of undetermined significancefollicular lesion of undetermined significance AUSFLUS06 Follicular neoplasmsuspicious for follicular neoplasm FNSFN24 Suspicious for malignancy SFM15 and malignant18 The malignancy risk calculated from histopathological follow up of 75 cases is as follows NDUNS 0 Benign 69 FNSFN 167 SFM 667 and malignant 100 The positive predictive value negative predictive value and accuracy of TBSRTC are 100 931 937 respectivelyConclusion The malignancy risk accuracy specificity and predictive values are consistent with other studies Thus TBSRTC allows more standard reporting specific diagnosis and understanding of terminology between pathologists and cliniciansKeywords FNAC TBSRTC Thyroid
Authors and Affiliations
Sampa Choudhury, Archana H Deshpande, Chitrawati B Gargade
Diagnostic discrepancies in fine needle aspiration diagnosis of parotid gland lesions in a resource limited hilly region
The characteristic cytological features of parotid gland lesions have been well described in literatures but there also exist cytological diagnostic pitfalls that make it difficult to form an accurate diagnosis in some c...
Mast cell profile in appendicitis
Introduction: Today appendicitis remains the most common indication for emergency laparotomy, especially in the young. Mast cell is one of the most important cells of inflammation and acute appendicitis is triggered by T...
Histopathologic correlates of clinically verrucous lesions
Introduction Verrucous lesions present as cauliflower like slowly growing masses which may be single multiple or diffuse involving the broad areas of skin or mucosal surfaces Clinically these lesions are diagnostic chall...
Breast tumors and college students: a study of their knowledge, attitude and practice
Introduction: Breast cancer is a public health problem worldwide. Breast cancer can be prevented through inexpensive behavioral change. At the same time, not all breast lumps are cancerous and benign breast tumors can be...
A rare clinical presentation of urinary bladder carcinoma: A case report
Metastasis of carcinoma to regional lymph nodes is of common occurrence Cervical lymph nodes are the commonest lymph nodes to be sampled for detection of metastasis from head neck and upper are digestive tract malignanci...