The Bethesda System for Reporting Thyroid Cytopathology II.
نویسندگان
چکیده
categories in TBSRTC soon led to the successful introduction of a whole new era of ‘thyroid molecular cytopathology’, with novel tests further enhancing the accuracy of an FNA diagnosis [3, 4] . The success of TBSRTC is reflected in its widespread use by cytopathologists globally, the translation of the monograph into 4 other languages, a large amount of published scientific literature, and its endorsement by major professional organizations of endocrinologists and head and neck surgeons. Indeed, since its introduction, TBSRTC has become one of the most cited pathology terminology and reporting systems in the published scientific literature on thyroid disease in general, and on FNA cytopathology in particular [5] . Due to many recent developments in molecular diagnostics, clinical management patterns such as the new 2015 American Thyroid Association (ATA) guidelines [6] , the recent introduction of the new pathologic entity ‘NIFTP’ (noninvasive follicular thyroid neoplasm with papillary-like nuclear features) and others factors, TBSRTC needed fresh discussion, and a decision was made to publish a revised edition (TBSRTC II) by the spring of 2018. To initiate work on this exciting project and gather expert opinion, a special 21⁄2-hour symposium entitled ‘TBSRTC: Past, Present and Future’ was presented at the International Cytology Congress (ICC) in Yokohama, Japan, in May 2016, moderated by Drs. Ali and Philippe Vielh. A team of internationally renowned thyroid cytopathology experts, headed by Drs. Bill Faquin, Cytopathology is a dynamic discipline, with thyroid fine-needle aspiration (FNA) being one of the most important diagnostic modalities of choice for patients presenting with a nodule. Similar to other areas of pathology, thyroid cytopathology requires a truly multidisciplinary approach, with the close interaction and understanding of experts from various teams managing patients with thyroid disease. Terminology, nomenclature, and reporting systems together form an important means through which pathologists convey their microscopic interpretations and diagnoses to the treating physicians in a clinically relevant way. It has been almost 9 years since the National Cancer Institute’s ‘Thyroid Fine Needle Aspiration State of the Science Conference’ was held in 2007 in Bethesda, Md., USA, and the subsequent publication of the well-received ‘The Bethesda System for Reporting Thyroid Cytopathology’ (TBSRTC) monograph in 2010 [1] . TBSRTC was a success due to its unambiguous and succinct language, clinically relevant approach, and clarity of communication. It provided a highly reproducible and much-needed thyroid FNA reporting system for cytopathologists, incorporating evidence-based data and stratification of clinically relevant risks of malignancy (ROM), implicit in each of the 6 diagnostic categories. The multidisciplinary approach led to clearly defined and applicable management algorithms for the treating clinicians [2] . The newly introduced and well-defined ‘indeterminate’ diagnostic Published online: October 28, 2016
منابع مشابه
Classification of thyroid fine-needle aspiration cytology into Bethesda categories: An institutional experience and review of the literature
Background Fine-needle aspiration cytology (FNAC) of thyroid is the initial screening test for thyroid nodules. The Bethesda system classifies thyroid FNAC into six categories. Each category is linked to a malignancy risk and has a recommended clinical management. The aim of this study is to analyze the thyroid cytology smears by Bethesda system and to correlate the diagnosis of cytopathology w...
متن کاملDiagnostic accuracy of Bethesda system for reporting thyroid cytopathology: an institutional perspective
INTRODUCTION Thyroid swelling is common problem among South Asian women. Although benign nodules far outnumber cancerous lesions, the risk of malignancy needs to be evaluated preoperatively for which fine needle aspiration cytology (FNAC) is widely used. Bethesda system for reporting thyroid cytopathology (BSRTC) was introduced to streamline the reporting of thyroid aspirates. We aimed to evalu...
متن کاملEffect of the Bethesda system for reporting thyroid cytopathology on thyroidectomy rates and malignancy risk in cytologically indeterminate lesions.
BACKGROUND Cytologically indeterminate thyroid nodules represent a diagnostic and therapeutic challenge. In 2007, the National Cancer Institute recommended The Bethesda System for Reporting Thyroid Cytopathology (TBSRTC) as a means of improving the accuracy of thyroid cytopathology. Our objective was to determine the effect of TBSRTC on thyroidectomy rates and malignancy risk in cytologically i...
متن کاملThe 2017 Bethesda System for Reporting Thyroid Cytopathology.
The Bethesda System for Reporting Thyroid Cytopathology (TBSRTC) established a standardized, category-based reporting system for thyroid fine-needle aspiration (FNA) specimens. The 2017 revision reaffirms that every thyroid FNA report should begin with one of six diagnostic categories, the names of which remain unchanged since they were first introduced: (i) nondiagnostic or unsatisfactory; (ii...
متن کاملThe Bethesda System for Reporting Thyroid Cytopathology: Proposed Modifications and Updates for the Second Edition from an International Panel
The Bethesda System for Reporting Thyroid Cytology (TBSRTC) was proposed in 2007 at the National Cancer Institute Thyroid Fine Needle Aspiration State of the Art and Science Conference held in Bethesda, Maryland. The aim was to address the inconsistent and sometimes confusing reporting Published online: October 21, 2016 Correspondence to: William C. Faquin, MD, PhD Head and Neck Pathology, Depa...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Acta cytologica
دوره 60 5 شماره
صفحات -
تاریخ انتشار 2016