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Year : 2017  |  Volume : 31  |  Issue : 1  |  Page : 3-7

The Bethesda system of reporting thyroid fine needle aspirates: A 2-year cytologic study in a tertiary care institute

Department of Pathology, Regional Institute of Medical Sciences, Imphal, Manipur, India

Correspondence Address:
Rajesh Singh Laishram
Department of Pathology, Regional Institute of Medical Sciences, Lamphelpat, Imphal - 795 004, Manipur
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0972-4958.198423

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Background: The Bethesda system for reporting thyroid cytopathology (TBSRTC) represents a major step in the interpretation of thyroid fine needle aspiration (FNA) creating uniformity and clarity and providing clinically relevant information assisting the referring physicians in the management of the patients. Aims: To study the cytological features of thyroid FNA and interpretation of the smears by TBSRTC. Materials and Methods: A retrospective study of thyroid FNAs from May 2013 to June 2015 is carried out in the Pathology Department of a tertiary care institute. The results are interpreted according to the features and categories given in the monograph of TBSRTC. Results: A total of 576 cases studied. The distribution of the various categories from evaluated thyroid FNAs are as follows: nondiagnostic/unsatisfactory - 5.2%, benign - 89.9%, atypia of undetermined significance - 0%, follicular neoplasm (FN) or suspicious for a FN - 2.2%, suspicious for malignancy - 0.3%, malignant - 2.2%. Conclusion: The Bethesda system allows a more standard and uniform method of reporting thyroid cytology providing a clear and consistent management guidelines for the clinicians.

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