• Users Online: 124
  • Print this page
  • Email this page
 
ORIGINAL ARTICLE
Ahead of Print

Reproducibility of cytomorphological diagnosis and assessment of risk of malignancy of thyroid nodules based on the bethesda system for reporting thyroid cytopathology: A tertiary cancer center perspective


1 Department of Oncopathology, Acharya Harihar Postgraduate Institute of Cancer, Cuttack, Odisha, India
2 Department of Radiation Oncology, Acharya Harihar Postgraduate Institute of Cancer, Cuttack, Odisha, India
3 Department of Head and Neck Oncology, Acharya Harihar Postgraduate Institute of Cancer, Cuttack, Odisha, India

Correspondence Address:
Mamita Nayak,
Department of Oncopathology, Acharya Harihar Postgraduate Institute of Cancer, Cuttack, Odisha
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmau.jmau_88_21

Introduction: The Bethesda System for Reporting Thyroid Cytopathology (TBSRTC) was introduced for unifying the terminology and morphologic criteria along with the corresponding risk of malignancy, leading to more consistent management approaches. The aim of this study was to study the utility and reproducibility of TBSRTC in reporting thyroid cytology in a referral cancer center. Methods: The fine-needle aspiration (FNA) of all thyroid nodules were included for a period of 5 years, from January 2016 to December 2021, in this cancer center. They were retrospectively reviewed and recategorized according to TBSRTC by two experienced pathologists. Cytohistopathological correlation was done for the cases which underwent surgical resection. Results: 522 fine-needle aspiration cytology (FNAC) of thyroid swellings were evaluated and categorized according to TBSRTC. There was agreement in the cytological diagnosis of 512 cases, of which 260 (50.78%) were benign lesions, 189 (36.91%) were malignant, 5 (0.97%) were unsatisfactory/nondiagnostic, 41 (8.01%) were follicular neoplasm/suspicious for neoplasm, 13 (2.53%) were suspicious for malignancy, and 4 (0.78%) cases were reported as atypia of undetermined significance. Two cytopathologists were in agreement in 512 cases (98%) of cases. Almost complete concordance was noted in the malignant (99%) and benign categories (98%). Disagreement was seen in 10 cases. Histological follow-up was available in 201 cases with an overall malignancy rate of 62.68% (126/201). Conclusion: TBSRTC proved to be a very simple and effective reporting system for thyroid FNAC, especially in the setting of a cancer center. This enables proper triaging of cases with thyroid masses into those who require surgical intervention and those who can avoid it, thereby preventing unnecessary morbidity.


Print this article
Search
 Back
 
  Search Pubmed for
 
    -  Panda S
    -  Nayak M
    -  Pattanayak L
    -  Behera PK
    -  Samantaray S
    -  Dash S
 Citation Manager
 Article Access Statistics
 Reader Comments
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed118    
    PDF Downloaded4    

Recommend this journal