The Bethesda System for Reporting Thyroid Cytopathology Explained for Practitioners: Frequently Asked Questions.

Details

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State: Public
Version: Author's accepted manuscript
Serval ID
serval:BIB_DA68FE57DD84
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
The Bethesda System for Reporting Thyroid Cytopathology Explained for Practitioners: Frequently Asked Questions.
Journal
Thyroid
Author(s)
Bongiovanni M., Papadakis G.E., Rouiller N., Marino L., Lamine F., Bisig B., Ziadi S., Sykiotis G.P.
ISSN
1557-9077 (Electronic)
ISSN-L
1050-7256
Publication state
Published
Issued date
05/2018
Peer-reviewed
Oui
Volume
28
Number
5
Pages
556-565
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
The recent update of The Bethesda System for Reporting Thyroid Cytology (TBSRTC) is a very important development in the evaluation of thyroid nodules. Clinical experience and scientific literature both show that practitioners performing thyroid fine-needle aspiration are accustomed to basing the clinical management of patients on reports using TBSRTC. Specifically, clinicians are familiar with the percent risk of malignancy corresponding to each TBSRTC diagnostic category (DC), as well as with the respective recommendation for clinical management. However, most clinicians are much less familiar with the specific considerations that lie between a given DC, on the one end, and the respective risk of malignancy and associated management recommendation, on the other end.
A deeper understanding of the system can enlighten the clinician's thinking about the specific nodule under examination and can guide the decision-making process in a more meaningful way. Such an understanding can only be developed via close two-way communication between cytopathologists and clinicians. Through this type of interaction in the authors' tertiary medical center, recurring issues of particular importance for clinical practice were identified, which are reported here in the form of 16 frequently asked questions posed by the clinician to the cytopathologist.
For each frequently asked question, an answer is provided based on the literature, the authors' experience, the new version of TBSRTC, and the new World Health Organization classification of tumors of endocrine organs.
Keywords
Adenocarcinoma, Follicular/pathology, Biopsy, Fine-Needle, Carcinoma, Papillary/pathology, Humans, Thyroid Gland/pathology, Thyroid Neoplasms/pathology, Thyroid Nodule/pathology, NIFTP, diagnostic category, fine-needle aspiration, indeterminate cytology, thyroid carcinoma, thyroid nodule
Pubmed
Web of science
Create date
06/04/2018 16:06
Last modification date
20/08/2019 15:59
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