Evaluation of Bethesda System for Reporting Thyroid FNAC in Rural Setup
DOI:
https://doi.org/10.7439/ijbar.v9i6.4819Keywords:
The Bethesda System for Reporting Thyroid Cytopathology, Fine Needle Aspiration CytologyAbstract
Aims and Objectives: The present research was undertaken to study the diagnostic utility of TBSRTC at our institution and correlate the cytological diagnosis with the histological diagnosis wherever available.
Methods: A total of 108 patients with thyroid swellings were subjected to fine needle aspiration cytology (FNAC) during a period of 10 months i.e. from January 2016 to October 2016 were included in the study. Out of these 31 patients (28.70%) underwent surgery subsequently and histopathological examination was done. Cytological diagnosis was compared with histopathology diagnosis wherever it was available.
Results : Out of 108 patients, majority were females (87.03%) and in younger age group ( n = 66 [61.11%], 21 40 years). The FNAC diagnosis was categorized as unsatisfactory (2.77%), benign (87.03%), Atypia of Undetermined Significance (0.92%), Follicular/ Hurthle cell neoplasm (4.62%), suspicious for malignancy (0.92%) and malignant (3.70%). The malignancy rate for benign category was 4.5%, 20% for follicular neoplasm, 100% for each suspicious for malignancy and malignant category. 29 cases (93.54%) out of 31 had a consistent cytological diagnosis with histological diagnosis while 2 cases (6.45%) showed discordance. There was a good correlation between cytological and histopathological diagnosis.
Conclusion: The Bethesda system is very useful standardized system of reporting thyroid cytopathology. It improves communication between cytopathologist's and clinicians, leading to more consistent management approaches.
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References
Mehra P and Verma AK. Thyroid cytopathology reporting by the bethesda system: a two-year prospective study in an academic institution. Pathology Research International 2015, Article ID 240505, P-11.
Ali SZ. Thyroid cytopathology: Bethesda and beyond. Acta Cytol. 2011; 55(1): 4-12.
Cibas ES and Ali SZ. The Bethesda System for Reporting Thyroid Cytopathology. Am J Clin Pathol 2009; 132: 658-665.
Bhagat VM, Tailor HJ, Kaptan KR, Baladawa V, Prasad GH, Saini PK. Diagnostic Role of the Bethesda System for Reporting Thyroid Lesions: Effective Tool for Managing Thyroid Lesions. Global J of Medical research 2014; 14(1): 13-18.
Basak B, Mondal S, Roy DN, Sinha S. The Bethesda system for reporting thyroid fine needle aspirates: A cytologic study with histologic follow-up. J of cytology 2013; 30(2): 94-99.
Chandanwale S, Singh N, Kumar H, Pradhan P, Gore C, Rajpal M. Clinicopatholological correlation of thyroid nodules. Int J Pharm Biomed Sci 2012; 3(3): 97-102.
Gulia S, Chaudhary M, Sitaraman E, Reddy K. Diagnostic Accuracy of Fine Needle Aspiration Cytology In The Diagnosis of Thyroid Lesions. The Internet Journal of Pathology 2010; 13 (1).
Al-Brahim N, Asa SL. Papillary thyroid carcinoma: an overview. Arch Pathol Lab Med. 2006; 130(7): 1057-62.
Hajmanoochehri F, Rabiee E. FNAC accuracy in diagnosis of thyroid neoplasms considering all diagnostic categories of the Bethesda reporting system: A single-institute experience. Journal of Cytology 2015; 32(4): 238-243.
Mufti ST, Molah R. The Bethesda system for reporting thyroid cytopathology: a five-year retrospective review of one center experience. Int J Health Sci (Qassim) 2012; 6(2): 159-73.
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