APPLICATION OF THE BETHESDA CLASSIFICATION IN THE HISTOPATHOLOGICAL CHARACTERISTICS OF PATIENTS WITH THYROID NODULES
Journal Title: International scientific journal Science and Innovation - Year 2024, Vol 3, Issue 2
Abstract
Background. The Bethesda Classification for Reporting Thyroid Cytopathology (BSRTC) was developed in 2010 to provide a standardized framework for interpreting and reporting FNA cytology, and its use is recommended for the evaluation of thyroid nodules in both adults and children. Material and methods. A retrospective analysis of 51 patients with thyroid nodules was performed. Of the 51 patients, 33 were men and 18 were women. Research methods - general clinical, biochemical (bilirubin, direct, indirect, ALT, AST, PTI, coagulogram, CRP), hormonal (TSH, free thyroxine, antibodies to thyroid peroxidase, to thyroglobulin and thyrocyte receptors, prolactin in the blood) and instrumental: ECG, Ultrasound of the thyroid gland, internal organs, chest x-ray, as well as fine-needle aspiration biopsy (FNA). Research results. The patients were divided into 2 groups: group 1 - patients with one nodular thyroid formation - 35 patients, group 2 - patients with multinodular thyroid formations - 16 patients. 20 healthy individuals made up the control group. Conclusions.1) The majority of patients, a total of 22 out of 51 patients, belonged to Bethesda category II (43.1%), while 2 - category I (3.9%), 6 - category III (11.8%), 12 - category IV (23.5%), 7 - category V (13.7%) and 2 patients belonged to category VI (3.9%) respectively. 2 patients with Bethesda category I underwent repeat FNA, and later they had category II. 2) When analyzing the cytological response, the Bethesda classification must be used for correct prognosis and treatment.
Authors and Affiliations
Dadakhanova Maryam Bakhtiyarovna, Khalimova Zamira Yusufovna
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