Bethesda System for Reporting Thyroid Cytopathology: A Study at A Tertiary Care Referral Center In South India.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 4
Abstract
Thyroid lesions are one of the common conditions encountered in clinical practice. Thyroid nodules are very frequent, with a number of studies showing an annual incidence rate of 4–8%. In thyroid the various pathological processes includes hyperplasia, benign and malignant neoplasms. Differentiating the benign and malignant lesions are important in the management of the patients. To compare conventional & Bethesda system of reporting in Thyroid lesions (TBSRTC) and study prospectively the diagnostic utility of TBSRTC at our institution and report the malignancy risk for FNA of thyroid lesions. The study was under taken in the department of Pathology,Osmania General Hospital, Afzalgunj, Hyderabad, During the period of June 2011to May2013.The study comprises of 535 patients who presented with the history of swelling of thyroid which were referred from the department of Surgery, Medicine, E.N.T. etc. The procedure was explained in detail to the patient in their own language and consent was taken conventional FNAC was done in all patients after the procedure was explained to them and by employing imaging guidance where ever necessary. The Bethesda system is very useful for a standardized system of reporting thyroid cytopathology, improving communication between cyto-pathologists and clinicians, and inter-laboratory agreement, leading to more consistent management approaches.
Authors and Affiliations
Nagendra Prasad Naik Dugavanth, Dwarakanath Nallapoola
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