Thyroid and Parathyroid gland Pathology. The Bethesda System for Reporting Thyroid Cytopathology
Abstract Introduction and objective: The FNA is the best method for the management of patients with thyroid nodules, as a screening method and for selecting patients who can undergo surgical treatment. The objective of this article is to make a brief description of the diagnostic categories of the Bethesda System in its second edition (2018). Synthesis: The Bethesda System establishes 6 diagnostic categories: No diagnostic-Unsatisfactory, Benign, Atypia od Undetermined Significance/Follicular Lesion of Undetermined Significance, Follicular Neoplasm/Suspicious for a Follicular Neoplasm, Suspicious for Malignant and Malignant. Conclusions: The Bethesda System allows pathologists to make systematized reports and the clinician to establish the attitude to follow according to each diagnostic category.
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2. Kim MJ, Kim EK, Park SI, Kim BM, Kwak JY, Kim SJ, et al. US-guided fine-needle aspiration of thyroid nodules: indications, techniques, results. Radiographics. 2008;28:1869–86.
3. Ananthakrishman N, Rao KM,Narasimhan R, Veliath AJ. Problems and limitations with fine-needle aspiration cytology of solitary thyroid nodules. Aust NZ J Surg. 1990;60(1):35-9.
4. Syed ZA, Cibas ES. The Bethesda System for Reporting Thyroid Cytopatology. Definitions, Criteria and Explanatory Notes. New York: Springer; 2010.
5. Cibas Es,Ali SZ. The Bethesda System for Reporting Thyroid Cytopathology. Am J Clin Pathol 2009;132:658-65.
6. Syed Z. Ali. Thyroid Cytopathology: Bethesda and Beyond. Acta Cytol. 2011; 55:4-12.
7. Woolner L,McConahey W.Beahrs O. Granulomatous Thiroiditis (de Quervain’s thyroiditis). J Clin Endocrinol Metab. 1957;17: 1202-21.
8. Lindasy S, Dailey M. Friedlander J et al. Cronic thyroiditis a clinical and pathological study of 354 patients. J Clin Endocrinol Metab. 1952;12:1578-1600.
9. Baloch ZW, Fleisher S, LiVolsi VA, Gupta PK. Diagnosis of “follicular neoplasm” : a gray zone in thyroid fine-needle aspiration cytology. Diagn Cytopathol. 2002;26(1):41–4.
10. Carcangiu ML, Zampi G, Rosai J. Papillary thyroid carcinoma: a study of its many morphologic expressions and clinical correlates. Pathol Annu. 1985;20(Pt 1):1–44.
Pinto-Blázquez, J., & Ursúa-Sarmiento, I. (2019). Thyroid and Parathyroid gland Pathology. The Bethesda System for Reporting Thyroid Cytopathology. Revista ORL, 11(3), 259–264. https://doi.org/10.14201/orl.21596
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