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The Bethesda System For Reporting Thyroid Cytopathology

Dharmendra Kumar, Gunja Dwivedi, Sunita Bhargava
Published 2018 · Medicine
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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.
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This paper is referenced by
10.1016/j.prp.2015.06.010
Cytomorphologic features in thyroid nodules read as "suspicious for malignancy" on cytology may predict thyroid cancers with the BRAF mutation.
Hyeong Ju Kwon (2015)
10.1016/j.clinthera.2015.07.013
Increasing Incidence of Thyroid Nodules and Thyroid Cancer: Does Increased Detection of a Subclinical Reservoir Justify the Associated Anxiety and Treatment?
M Ukrainski (2016)
10.1007/s40618-016-0469-x
Radiofrequency ablation for benign thyroid nodules
S. Bernardi (2016)
10.1002/cncy.21933
Noninvasive follicular thyroid neoplasm with papillary‐like nuclear features in the pediatric age group
Esther Diana Rossi (2018)
10.24875/GMM.18003556
Evaluación clínica y ultrasonográfica de la glándula tiroides en pacientes con artritis reumatoide.
Mauricio Figueroa-Sánchez (2018)
10.1089/thy.2014.0394
How do liquid-based preparations of thyroid fine-needle aspiration compare with conventional smears? An analysis of 5475 specimens.
Neeraja Nagarajan (2015)
10.1245/s10434-014-3556-2
Malignancy Risk Stratification in Thyroid Nodules with Benign Results on Cytology: Combination of Thyroid Imaging Reporting and Data System and Bethesda System
PhD Hee Jung Moon MD (2014)
10.1097/PAT.0000000000000168
The Australian experience with the Bethesda classification system for thyroid fine needle aspiration biopsies
Leba M Sarkis (2014)
Quantitative characterisation of solid tumours by 18F-FDG PET. What's in a number?
Dennis Vriens (2015)
Biopsia por aspiración con aguja fina guiada por ultrasonido y correlación citopatológica de nódulos tiroideos en un hospital privado de México
Rogelio Herrera Lima (2015)
Performance of 18 F-FDG PET / CT in Selecting Thyroid Nodules with Indeterminate Fine-Needle Aspiration Cytology for Surgery . A Systematic Review and a Meta-Analysis
Marco Castellana (2019)
10.24875/gmm.m18000169
Clinical and ultrasound assessment of the thyroid gland in patients with rheumatoid arthritis
Mauricio Figueroa-Sánchez (2019)
10.1177/0284185114554825
Thyroid fine needle aspiration biopsy: do nodule volume and cystic degeneration ratio affect specimen adequacy and cytological diagnosis time?
Ismet Cengic (2015)
10.1007/s12022-020-09604-7
Testing for Afirma in Thyroid Nodules with High-Risk Indeterminate Cytology (TIR3B): First Italian Experience
Massimiliano Andrioli (2020)
10.4103/ijem.IJEM_350_16
Improving Bethesda Reporting in Thyroid Cytology: A Team Effort Goes a Long Way and Still Miles to Go…
Subramanian Kannan (2017)
10.1002/cncy.21436
The value of second opinion in thyroid cytology: a review.
Renê Gerhard (2014)
10.1007/s13126-015-0173-x
Indications for surgical treatment in benign thyroid disease
Ifigenia Kostoglou-Athanassiou (2015)
10.1007/s12020-015-0835-z
Combined use of conventional smear and liquid-based preparation versus conventional smear for thyroid fine-needle aspiration
Soo-Yeon Kim (2015)
10.3233/CH-16197
First experience of comparisons between two different shear wave speed imaging systems in differentiating malignant from benign thyroid nodules.
Yaping He (2017)
10.3233/CH-16178
The diagnostic performances of conventional strain elastography (SE), acoustic radiation force impulse (ARFI) imaging and point shear-wave speed (pSWS) measurement for non-calcified thyroid nodules.
Baoding Chen (2017)
10.1002/dc.23711
Identification of parathyroid tissue in thyroid fine‐needle aspiration: A combined approach using cytology, immunohistochemical, and molecular methods
Robert P Domingo (2017)
10.1111/cyt.12491
Thyroid FNA cytology in Asian practice—Active surveillance for indeterminate thyroid nodules reduces overtreatment of thyroid carcinomas
Kennichi Kakudo (2017)
10.1001/jamasurg.2018.1153
Performance of a Genomic Sequencing Classifier for the Preoperative Diagnosis of Cytologically Indeterminate Thyroid Nodules
Kepal N. Patel (2018)
10.1245/s10434-018-6932-5
Effect of Noninvasive Follicular Thyroid Neoplasm with Papillary-Like Nuclear Features (NIFTP) on Malignancy Rates in Thyroid Nodules: How to Counsel Patients on Extent of Surgery
Brenessa M. Lindeman (2018)
10.1631/jzus.B1600075
Retrospective cytological evaluation of indeterminate thyroid nodules according to the British Thyroid Association 2014 classification and comparison of clinical evaluation and outcomes
Massimo Giusti (2017)
10.1002/jum.14377
Differentiation of the Follicular Variant of Papillary Thyroid Carcinoma From Classic Papillary Thyroid Carcinoma: An Ultrasound Analysis and Complement to Fine‐Needle Aspiration Cytology
Soh-Ching Ng (2018)
10.4158/EP15986.OR
THE ROLE OF CORE-NEEDLE BIOPSY FOR THYROID NODULES WITH INITIALLY NONDIAGNOSTIC FINE-NEEDLE ASPIRATION RESULTS: A SYSTEMATIC REVIEW AND META-ANALYSIS.
Chong Hyun Suh (2016)
10.1093/ajcp/aqy109
A Proposal for Separation of Nuclear Atypia and Architectural Atypia in Bethesda Category III (AUS/FLUS) Based on Differing Rates of Thyroid Malignancy
Daniel N Johnson (2019)
10.1177/0194599817725709
Cost-effectiveness of Gene Expression Classifier Testing of Indeterminate Thyroid Nodules Utilizing a Real Cohort Comparator
Scott Shapiro (2017)
10.1001/jamaoto.2016.3526
Association of Malignancy Prevalence With Test Properties and Performance of the Gene Expression Classifier in Indeterminate Thyroid Nodules
Zaid Al-Qurayshi (2017)
Better Thyroid Cytopathology Reporting System May Increase the Clinical Management and Patients Outcome: With Review of Literature
Mulazim Hussain Bukhari (2012)
10.3390/jcm9020384
Imaging and Imaging-Based Management of Pediatric Thyroid Nodules
Ioannis Iakovou (2020)
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