The Bethesda System of Reporting Thyroid Cytopathology: A Hospital Based Study of Eastern UP
Authors/Creators
- 1. Postgraduate Resident, Department of Pathology, Heritage Institute of Medical Sciences, Varanasi
- 2. Associate Professor, Department of Pathology, Heritage Institute of Medical Sciences, Varanasi
- 3. Professor, Department of Pathology, Heritage Institute of Medical Sciences, Varanasi
Description
Background: Fine needle aspiration cytology is a well-established first line diagnostic tool for the evaluation of palpable thyroid swellings. It is one of the diagnostic investigations for the Evaluation of solitary thyroid nodule (distinguish neoplastic from non -neoplastic), Evaluation of diffuse thyroid lesions (distinguish inflammatory/ autoimmune from nodular goiter), Confirmation and categorisation of clinically obvious thyroid malignancy. Thyroid FNAC is the most accurate and cost-effective tool for guiding the clinical management of patients with thyroid nodules. The role of cytology in thyroid swellings is important for the pre-operative diagnosis of benign or malignant lesions. Aims: To assess the thyroid swelling by fine needle aspiration cytology and classify the FNAC findings according to the Bethesda system of reporting thyroid cytopathology 2017 at a tertiary care hospital. Materials & Methods: It is an observational study done from January 2019 to November 2022. FNAC was performed in 92 cases. Smears stained with Giemsa, Haematoxylin and Eosin and Papanicolaou stain. Result: In present study commonest indication of FNAC was swelling in neck. Among 92 cases, non-neoplastic category II lesions were the major proportion constituting 78.26%%, category I unsatisfactory smears were 4.34%%, category III 3.26%%, next highest percentage of cases were in category IV with 8.69%, category V 4.34% and category VI had 1.08% of cases. Majority of the patients (78.26%) presented with Category II lesions. Among the benign lesion goiter was the most common lesion (64.12%). Nodular goiter formed maximum cases (57.60%) rest were of (6.52%). Next common lesions was thyroiditis in which lymphocytic thyroiditis was common (8.69%) followed by Hashimoto thyroiditis (3.26%) and Dequervain’s thyroiditis (2.17%). Conclusion: In conclusion the present study shows that TBSRTC helps standardize cytology reports thereby improving the quality of reporting, reducing the diagnostic in accuracies and bringing about an interlaboratory agreement on an objective basis. Furthermore it improves the communication between cytopathologists and clinicians, helping them to triage the patient for the appropriate line of management.
Abstract (English)
Background: Fine needle aspiration cytology is a well-established first line diagnostic tool for the evaluation of palpable thyroid swellings. It is one of the diagnostic investigations for the Evaluation of solitary thyroid nodule (distinguish neoplastic from non -neoplastic), Evaluation of diffuse thyroid lesions (distinguish inflammatory/ autoimmune from nodular goiter), Confirmation and categorisation of clinically obvious thyroid malignancy. Thyroid FNAC is the most accurate and cost-effective tool for guiding the clinical management of patients with thyroid nodules. The role of cytology in thyroid swellings is important for the pre-operative diagnosis of benign or malignant lesions. Aims: To assess the thyroid swelling by fine needle aspiration cytology and classify the FNAC findings according to the Bethesda system of reporting thyroid cytopathology 2017 at a tertiary care hospital. Materials & Methods: It is an observational study done from January 2019 to November 2022. FNAC was performed in 92 cases. Smears stained with Giemsa, Haematoxylin and Eosin and Papanicolaou stain. Result: In present study commonest indication of FNAC was swelling in neck. Among 92 cases, non-neoplastic category II lesions were the major proportion constituting 78.26%%, category I unsatisfactory smears were 4.34%%, category III 3.26%%, next highest percentage of cases were in category IV with 8.69%, category V 4.34% and category VI had 1.08% of cases. Majority of the patients (78.26%) presented with Category II lesions. Among the benign lesion goiter was the most common lesion (64.12%). Nodular goiter formed maximum cases (57.60%) rest were of (6.52%). Next common lesions was thyroiditis in which lymphocytic thyroiditis was common (8.69%) followed by Hashimoto thyroiditis (3.26%) and Dequervain’s thyroiditis (2.17%). Conclusion: In conclusion the present study shows that TBSRTC helps standardize cytology reports thereby improving the quality of reporting, reducing the diagnostic in accuracies and bringing about an interlaboratory agreement on an objective basis. Furthermore it improves the communication between cytopathologists and clinicians, helping them to triage the patient for the appropriate line of management.
Files
IJPCR,Vol15,Issue5,Article14.pdf
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Additional details
Dates
- Accepted
-
2023-05-04
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue5,Article14.pdf
- Development Status
- Active
References
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